Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $1,518.48 / $7,278.00	Facility		$115.35	$1,518.48	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,311.30 / $2,201.14	Professional		$111.92	$1,311.30	$2,201.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,926.67 / $3,926.67 / $3,926.67	Professional	50	$3,926.67	$3,926.67	$3,926.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,020.36 / $1,097.16 / $2,846.47	Professional		$1,020.36	$1,097.16	$2,846.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $2,058.23 / $4,112.29	Professional		$201.00	$2,058.23	$4,112.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $1,191.08 / $3,292.50	Professional		$151.78	$1,191.08	$3,292.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $1,311.30 / $2,501.84	Facility		$115.35	$1,311.30	$2,501.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,116.62 / $2,116.62 / $2,116.62	Professional		$2,116.62	$2,116.62	$2,116.62
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,174.93 / $3,174.93 / $3,174.93	Professional	50	$3,174.93	$3,174.93	$3,174.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.12 / $1,458.10 / $2,172.51	Professional		$139.12	$1,458.10	$2,172.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,444.61 / $2,203.03 / $3,909.24	Professional		$1,444.61	$2,203.03	$3,909.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $556.61 / $556.61	Facility		$55.00	$556.61	$556.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,581.68 / $8,799.82 / $10,348.04	Professional		$4,581.68	$8,799.82	$10,348.04