Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.01 / $5,724.00 / $8,413.00	Facility		$492.01	$5,724.00	$8,413.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,390.49 / $15,611.62 / $15,611.62	Facility	50	$4,390.49	$15,611.62	$15,611.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.41 / $587.54 / $1,162.46	Professional		$323.41	$587.54	$1,162.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.74 / $408.74 / $408.74	Professional		$408.74	$408.74	$408.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.13 / $909.56 / $1,957.21	Professional		$493.13	$909.56	$1,957.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.99 / $841.34 / $1,661.57	Professional		$468.99	$841.34	$1,661.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.41 / $763.11 / $1,353.74	Facility		$323.41	$763.11	$1,353.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $695.67 / $1,402.22 / $2,092.50	Facility	50	$695.67	$1,402.22	$2,092.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $738.70 / $738.70 / $738.70	Professional		$738.70	$738.70	$738.70
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,108.05 / $1,108.05 / $1,108.05	Professional	50	$1,108.05	$1,108.05	$1,108.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $505.62 / $729.40 / $1,002.64	Professional		$505.62	$729.40	$1,002.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.76 / $805.59 / $1,672.72	Professional		$504.76	$805.59	$1,672.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,555.29 / $1,555.29	Facility		$55.00	$1,555.29	$1,555.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $4,387.22 / $4,387.22	Professional		$2,975.00	$4,387.22	$4,387.22