Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.59 / $968.05 / $16,497.09	Facility		$936.59	$968.05	$16,497.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.59 / $3,079.48 / $21,528.10	Professional		$936.59	$3,079.48	$21,528.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $822.79 / $964.68 / $14,646.94	Professional		$822.79	$964.68	$14,646.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.44 / $12,528.74 / $28,066.08	Professional		$1,028.44	$12,528.74	$28,066.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.72 / $14,445.12 / $19,331.09	Facility		$722.72	$14,445.12	$19,331.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14,445.12 / $14,445.12 / $14,445.12	Professional		$14,445.12	$14,445.12	$14,445.12
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $2,889.02 / $2,889.02 / $2,889.02	Professional	80	$2,889.02	$2,889.02	$2,889.02
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $2,022.32 / $2,022.32 / $2,022.32	Professional	AS	$2,022.32	$2,022.32	$2,022.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $868.36 / $11,919.01 / $14,610.94	Professional		$868.36	$11,919.01	$14,610.94
United Facility/Professional Professional Modifier Low / Median / High Price $10,615.25 / $16,827.02 / $26,545.66	Professional		$10,615.25	$16,827.02	$26,545.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,750.19 / $13,750.19	Facility		$55.00	$13,750.19	$13,750.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $32,476.68 / $59,714.29 / $69,100.80	Professional		$32,476.68	$59,714.29	$69,100.80