Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.06 / $710.14 / $5,639.68	Facility		$687.06	$710.14	$5,639.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.06 / $2,271.78 / $7,498.22	Professional		$687.06	$2,271.78	$7,498.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $607.61 / $2,517.56	Professional		$200.72	$607.61	$2,517.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.95 / $3,923.17 / $9,900.95	Professional		$763.95	$3,923.17	$9,900.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.07 / $5,112.88 / $6,706.37	Facility		$537.07	$5,112.88	$6,706.37
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.05 / $7,669.32 / $9,898.93	Facility	50	$1,288.05	$7,669.32	$9,898.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.22 / $715.80 / $923.90	Facility	AS	$120.22	$715.80	$923.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,112.88 / $5,112.88 / $5,112.88	Professional		$5,112.88	$5,112.88	$5,112.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.29 / $3,978.44 / $4,882.70	Professional		$645.29	$3,978.44	$4,882.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,524.15 / $5,542.97 / $8,092.63	Professional		$3,524.15	$5,542.97	$8,092.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,066.78 / $5,066.78	Facility		$55.00	$5,066.78	$5,066.78
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $403.98 / $403.98 / $403.98	Facility	53	$403.98	$403.98	$403.98
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $201.99 / $201.99 / $201.99	Facility	AS	$201.99	$201.99	$201.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,441.17 / $19,731.41 / $23,221.95	Professional		$11,441.17	$19,731.41	$23,221.95