Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $4,571.97 / $8,413.00	Facility		$1,245.00	$4,571.97	$8,413.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $65.18 / $199.03 / $333.03	Facility	53	$65.18	$199.03	$333.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.31 / $765.84 / $1,546.48	Professional		$308.31	$765.84	$1,546.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.83 / $493.36 / $544.23	Professional		$326.83	$493.36	$544.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.34 / $1,498.93 / $2,986.82	Professional		$571.34	$1,498.93	$2,986.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.58 / $1,143.69 / $2,291.65	Professional		$425.58	$1,143.69	$2,291.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $340.84 / $1,148.78 / $2,172.00	Facility		$340.84	$1,148.78	$2,172.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $90.96 / $196.40 / $304.08	Facility	AS	$90.96	$196.40	$304.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,447.89 / $1,447.89 / $1,447.89	Professional		$1,447.89	$1,447.89	$1,447.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,686.52 / $7,686.52 / $9,917.98	Facility		$7,686.52	$7,686.52	$9,917.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $465.63 / $1,342.19 / $1,607.41	Professional		$465.63	$1,342.19	$1,607.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $9,447.00 / $13,194.00	Facility		$3,500.00	$9,447.00	$13,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.27 / $1,569.61 / $2,738.35	Professional		$1,095.27	$1,569.61	$2,738.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,858.50 / $1,858.50 / $26,542.00	Facility		$1,858.50	$1,858.50	$26,542.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $319.74 / $319.74 / $319.74	Facility	53	$319.74	$319.74	$319.74
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $159.87 / $159.87 / $159.87	Facility	AS	$159.87	$159.87	$159.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,494.00 / $7,836.98 / $7,917.29	Professional		$5,494.00	$7,836.98	$7,917.29