Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $641.86 / $4,650.27	Facility		$621.00	$641.86	$4,650.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.00 / $2,043.00 / $6,181.30	Professional		$621.00	$2,043.00	$6,181.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.47 / $318.47 / $318.47	Professional		$318.47	$318.47	$318.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.55 / $2,972.44 / $8,219.75	Professional		$688.55	$2,972.44	$8,219.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $484.28 / $4,254.75 / $5,550.50	Facility		$484.28	$4,254.75	$5,550.50
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,161.46 / $6,382.13 / $8,235.45	Facility	50	$1,161.46	$6,382.13	$8,235.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,254.75 / $4,254.75 / $4,254.75	Professional		$4,254.75	$4,254.75	$4,254.75
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $6,382.13 / $6,382.13 / $6,382.13	Professional	50	$6,382.13	$6,382.13	$6,382.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.87 / $3,423.25 / $4,200.37	Professional		$581.87	$3,423.25	$4,200.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,962.96 / $4,562.07 / $6,937.19	Professional		$2,962.96	$4,562.07	$6,937.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,370.93 / $4,370.93	Facility		$55.00	$4,370.93	$4,370.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,514.33 / $16,857.77 / $20,022.30	Professional		$9,514.33	$16,857.77	$20,022.30