Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.03 / $7,481.98 / $16,179.31	Facility		$678.03	$7,481.98	$16,179.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $37,488.49 / $37,488.49 / $37,488.49	Facility	50	$37,488.49	$37,488.49	$37,488.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.38 / $3,463.88 / $6,914.67	Professional		$297.38	$3,463.88	$6,914.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $266.70 / $266.70	Professional		$266.70	$266.70	$266.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.04 / $5,029.33 / $10,232.07	Professional		$531.04	$5,029.33	$10,232.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $1,023.91 / $7,921.18	Professional		$407.92	$1,023.91	$7,921.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $297.38 / $3,463.88 / $6,234.75	Facility		$297.38	$3,463.88	$6,234.75
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $804.72 / $8,183.12 / $10,823.25	Facility	50	$804.72	$8,183.12	$10,823.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,455.41 / $5,455.41 / $5,455.41	Professional		$5,455.41	$5,455.41	$5,455.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $8,183.12 / $8,183.12 / $8,183.12	Professional	50	$8,183.12	$8,183.12	$8,183.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.25 / $523.70 / $5,571.35	Professional		$417.25	$523.70	$5,571.35
United Facility/Professional Facility Modifier Low / Median / High Price $10,829.00 / $22,655.00 / $29,047.00	Facility		$10,829.00	$22,655.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,381.32 / $5,750.62 / $9,512.77	Professional		$3,381.32	$5,750.62	$9,512.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,433.90 / $5,433.90	Facility		$55.00	$5,433.90	$5,433.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $12,145.05 / $23,247.31 / $27,425.03	Professional		$12,145.05	$23,247.31	$27,425.03