Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.93 / $870.21 / $8,073.92	Facility		$841.93	$870.21	$8,073.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.93 / $2,769.13 / $10,657.70	Professional		$841.93	$2,769.13	$10,657.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.56 / $500.63 / $875.04	Professional		$370.56	$500.63	$875.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.34 / $4,872.13 / $14,095.48	Professional		$931.34	$4,872.13	$14,095.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $654.48 / $7,278.95 / $9,570.07	Facility		$654.48	$7,278.95	$9,570.07
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,573.56 / $10,918.43 / $14,344.64	Facility	50	$1,573.56	$10,918.43	$14,344.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.87 / $1,019.05 / $1,338.83	Facility	AS	$146.87	$1,019.05	$1,338.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,278.95 / $7,278.95 / $7,278.95	Professional		$7,278.95	$7,278.95	$7,278.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $786.37 / $5,637.39 / $6,915.60	Professional		$786.37	$5,637.39	$6,915.60
United Facility/Professional Professional Modifier Low / Median / High Price $5,072.39 / $7,450.49 / $11,642.71	Professional		$5,072.39	$7,450.49	$11,642.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,143.30 / $7,143.30	Facility		$55.00	$7,143.30	$7,143.30
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $245.87 / $245.87 / $245.87	Facility	AS	$245.87	$245.87	$245.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $16,309.67 / $28,088.65 / $32,833.65	Professional		$16,309.67	$28,088.65	$32,833.65