Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.20 / $1,167.14 / $22,345.80	Facility		$1,129.20	$1,167.14	$22,345.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.20 / $3,700.69 / $29,067.60	Professional		$1,129.20	$3,700.69	$29,067.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $989.91 / $989.91 / $989.91	Professional		$989.91	$989.91	$989.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,234.52 / $14,155.93 / $37,916.25	Professional		$1,234.52	$14,155.93	$37,916.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $19,530.32 / $26,495.04	Facility		$866.68	$19,530.32	$26,495.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19,530.32 / $19,530.32 / $19,530.32	Professional		$19,530.32	$19,530.32	$19,530.32
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $3,906.06 / $3,906.06 / $3,906.06	Professional	80	$3,906.06	$3,906.06	$3,906.06
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $2,734.24 / $2,734.24 / $2,734.24	Professional	AS	$2,734.24	$2,734.24	$2,734.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.33 / $15,219.77 / $18,656.41	Professional		$1,041.33	$15,219.77	$18,656.41
United Facility/Professional Professional Modifier Low / Median / High Price $13,865.92 / $21,254.14 / $32,673.00	Professional		$13,865.92	$21,254.14	$32,673.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,551.46 / $17,551.46	Facility		$55.00	$17,551.46	$17,551.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $43,928.65 / $76,528.09 / $88,256.40	Professional		$43,928.65	$76,528.09	$88,256.40