Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,630.27 / $8,709.64	Facility		$537.03	$2,630.27	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,818.38 / $6,309.57	Facility	50	$2,089.30	$2,818.38	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $870.96 / $3,090.30	Professional		$288.40	$870.96	$3,090.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $794.33 / $5,011.87	Professional	50	$380.19	$794.33	$5,011.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $407.38 / $3,019.95	Professional		$154.88	$407.38	$3,019.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $354.81 / $2,238.72	Professional	50	$194.98	$354.81	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,202.26 / $4,786.30	Professional		$501.19	$1,202.26	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $954.99 / $3,548.13	Professional		$363.08	$954.99	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,202.26 / $3,311.31	Facility		$316.23	$1,202.26	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $2,137.96 / $6,025.60	Professional		$407.38	$2,137.96	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $758.58 / $1,949.84	Facility		$204.17	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,047.13 / $3,162.28	Professional		$316.23	$1,047.13	$3,162.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $8,709.64 / $8,709.64	Facility		$56.23	$8,709.64	$8,709.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64