Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.90 / $6,953.60 / $10,132.45	Facility		$444.90	$6,953.60	$10,132.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.11 / $1,081.00 / $2,616.02	Professional		$270.11	$1,081.00	$2,616.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,379.30 / $3,174.50 / $3,810.53	Professional	50	$1,379.30	$3,174.50	$3,810.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $944.38 / $2,565.34	Professional		$230.08	$944.38	$2,565.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.78 / $2,942.89 / $4,080.79	Professional		$494.78	$2,942.89	$4,080.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.96 / $1,513.71 / $3,269.15	Professional		$394.96	$1,513.71	$3,269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.92 / $1,297.20 / $3,606.73	Facility		$288.92	$1,297.20	$3,606.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $807.59 / $3,365.27 / $6,000.00	Facility	50	$807.59	$3,365.27	$6,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,243.51 / $2,243.51 / $2,243.51	Professional		$2,243.51	$2,243.51	$2,243.51
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $3,365.27 / $3,365.27 / $3,365.27	Professional	50	$3,365.27	$3,365.27	$3,365.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.70 / $1,475.68 / $1,811.79	Professional		$382.70	$1,475.68	$1,811.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,736.00 / $13,997.00	Facility		$3,500.00	$8,736.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,404.97 / $2,407.48 / $3,553.99	Professional		$1,404.97	$2,407.48	$3,553.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,830.90 / $1,830.90 / $26,542.00	Facility		$1,830.90	$1,830.90	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,157.00 / $12,422.18 / $12,518.98	Professional		$9,157.00	$12,422.18	$12,518.98