Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.23 / $836.27 / $13,519.10	Facility		$795.23	$836.27	$13,519.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.09 / $2,653.59 / $17,706.00	Professional		$809.09	$2,653.59	$17,706.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $710.19 / $710.19 / $6,931.83	Professional		$710.19	$710.19	$6,931.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.26 / $9,486.37 / $23,437.68	Professional		$870.26	$9,486.37	$23,437.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $626.86 / $12,103.29 / $17,414.27	Facility		$626.86	$12,103.29	$17,414.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,509.53 / $18,154.93 / $26,121.40	Facility	50	$1,509.53	$18,154.93	$26,121.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.88 / $1,694.46 / $2,438.00	Facility	AS	$140.88	$1,694.46	$2,438.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12,103.29 / $12,103.29 / $12,103.29	Professional		$12,103.29	$12,103.29	$12,103.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $11,038.43 / $12,976.00	Professional		$753.18	$11,038.43	$12,976.00
United Facility/Professional Professional Modifier Low / Median / High Price $8,938.36 / $13,408.75 / $22,566.50	Professional		$8,938.36	$13,408.75	$22,566.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,735.73 / $12,735.73	Facility		$55.00	$12,735.73	$12,735.73
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $235.61 / $235.61 / $235.61	Facility	AS	$235.61	$235.61	$235.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $28,571.80 / $55,711.16 / $63,971.70	Professional		$28,571.80	$55,711.16	$63,971.70