Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.63 / $323.92 / $1,804.22	Facility		$311.63	$323.92	$1,804.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.39 / $948.47 / $2,382.19	Professional		$313.39	$948.47	$2,382.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.91 / $716.91 / $716.91	Professional		$716.91	$716.91	$716.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.78 / $1,451.48 / $3,163.40	Professional		$340.78	$1,451.48	$3,163.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $241.39 / $1,633.59 / $2,042.88	Facility		$241.39	$1,633.59	$2,042.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,633.59 / $1,633.59 / $1,633.59	Professional		$1,633.59	$1,633.59	$1,633.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.04 / $1,124.00 / $1,378.84	Professional		$290.04	$1,124.00	$1,378.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.11 / $1,618.42 / $2,708.70	Professional		$1,049.11	$1,618.42	$2,708.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,448.83 / $1,448.83	Facility		$55.00	$1,448.83	$1,448.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,643.35 / $6,143.45 / $6,570.53	Professional		$3,643.35	$6,143.45	$6,570.53