Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.96 / $5,994.00 / $7,427.66	Facility		$421.96	$5,994.00	$7,427.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $455.72 / $783.89	Professional		$263.95	$455.72	$783.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,003.94 / $2,003.94 / $2,003.94	Professional	50	$2,003.94	$2,003.94	$2,003.94
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $131.97 / $210.98 / $357.39	Professional	52	$131.97	$210.98	$357.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $294.43 / $344.64	Professional		$131.83	$294.43	$344.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.79 / $749.23 / $1,646.00	Professional		$415.79	$749.23	$1,646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.20 / $701.18 / $1,364.47	Professional		$384.20	$701.18	$1,364.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.95 / $625.77 / $1,136.82	Facility		$263.95	$625.77	$1,136.82
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $592.29 / $1,150.67 / $1,710.00	Facility	50	$592.29	$1,150.67	$1,710.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.91 / $602.91 / $602.91	Professional		$602.91	$602.91	$602.91
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $904.38 / $904.38 / $904.38	Professional	50	$904.38	$904.38	$904.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.34 / $606.88 / $838.11	Professional		$412.34	$606.88	$838.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,736.00 / $13,997.00	Facility		$3,500.00	$8,736.00	$13,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.69 / $657.89 / $1,395.05	Professional		$443.69	$657.89	$1,395.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,265.34 / $1,265.34	Facility		$55.00	$1,265.34	$1,265.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,434.00 / $3,589.98 / $3,589.98	Professional		$2,434.00	$3,589.98	$3,589.98