Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.55 / $4,799.70 / $7,627.00	Facility		$384.55	$4,799.70	$7,627.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,368.26 / $3,259.50 / $8,142.48	Facility	50	$1,368.26	$3,259.50	$8,142.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $331.41 / $688.97	Professional		$241.46	$331.41	$688.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $211.42 / $562.91	Professional		$126.97	$211.42	$562.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.45 / $491.61 / $827.57	Professional		$336.45	$491.61	$827.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.11 / $452.20 / $822.57	Professional		$283.11	$452.20	$822.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.48 / $373.88 / $659.77	Facility		$250.48	$373.88	$659.77
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $473.82 / $584.33 / $1,174.89	Facility	50	$473.82	$584.33	$1,174.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.55 / $389.55 / $859.29	Professional		$389.55	$389.55	$859.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.49 / $445.02 / $584.26	Professional		$359.49	$445.02	$584.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.69 / $416.39 / $938.84	Professional		$308.69	$416.39	$938.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,740.48 / $1,740.48 / $16,394.00	Facility		$1,740.48	$1,740.48	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $2,391.52 / $2,874.38	Professional		$1,980.00	$2,391.52	$2,874.38