Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.88 / $4,148.00 / $7,017.59	Facility		$624.88	$4,148.00	$7,017.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,908.85 / $4,908.85 / $4,908.85	Facility	50	$4,908.85	$4,908.85	$4,908.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.93 / $520.29 / $1,018.62	Professional		$407.93	$520.29	$1,018.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $544.01 / $722.11 / $722.11	Professional		$544.01	$722.11	$722.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.35 / $807.54 / $1,336.86	Professional		$558.35	$807.54	$1,336.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.85 / $727.39 / $1,298.88	Professional		$471.85	$727.39	$1,298.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $410.79 / $610.59 / $1,080.81	Facility		$410.79	$610.59	$1,080.81
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $709.50 / $945.00 / $1,853.02	Facility	50	$709.50	$945.00	$1,853.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $630.00 / $1,327.63	Professional		$630.00	$630.00	$1,327.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.76 / $725.79 / $915.05	Professional		$583.76	$725.79	$915.05
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 $491.84 / $672.64 / $1,452.46	Professional		$491.84	$672.64	$1,452.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,335.50 / $3,335.50 / $16,394.00	Facility		$3,335.50	$3,335.50	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,301.00 / $3,777.68 / $4,476.14	Professional		$3,301.00	$3,777.68	$4,476.14