Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.95 / $3,138.28 / $7,457.93	Facility		$790.95	$3,138.28	$7,457.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $640.24 / $2,829.78 / $9,973.50	Facility	50	$640.24	$2,829.78	$9,973.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.60 / $432.33 / $1,046.24	Professional		$211.60	$432.33	$1,046.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $421.39 / $753.43	Professional		$295.52	$421.39	$753.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $714.68 / $1,085.92	Professional		$410.09	$714.68	$1,085.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.27 / $650.91 / $1,200.84	Professional		$437.27	$650.91	$1,200.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.33 / $522.66 / $1,082.19	Facility		$432.33	$522.66	$1,082.19
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $619.38 / $783.99 / $1,623.29	Facility	50	$619.38	$783.99	$1,623.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $522.66 / $522.66 / $1,130.80	Professional		$522.66	$522.66	$1,130.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $685.83 / $851.50	Professional		$463.60	$685.83	$851.50
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 $405.33 / $579.12 / $1,204.42	Professional		$405.33	$579.12	$1,204.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,484.23 / $8,723.79 / $16,394.00	Facility		$2,484.23	$8,723.79	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,301.00 / $3,301.00 / $3,830.40	Professional		$3,301.00	$3,301.00	$3,830.40