Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,370.32 / $9,549.93	Facility		$1,513.56	$5,370.32	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $5,011.87 / $16,982.44	Facility	50	$4,365.16	$5,011.87	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,041.74	Professional		$478.63	$776.25	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $891.25	Professional		$426.58	$630.96	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,380.38	Professional		$537.03	$812.83	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,659.59 / $3,235.94	Facility		$501.19	$1,659.59	$3,235.94
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,258.93	Professional		$489.78	$724.44	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $1,023.29	Facility		$489.78	$645.65	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $14,454.40	Facility		$9,332.54	$9,332.54	$14,454.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,230.27	Professional		$524.81	$812.83	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $14,125.38	Facility		$1,148.15	$5,128.61	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,023.29	Professional		$426.58	$562.34	$1,023.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $33,884.42	Facility		$9,549.93	$9,549.93	$33,884.42
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AS	$954.99	$954.99	$954.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,570.88	Professional		$4,168.69	$4,168.69	$4,570.88