Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,096.18 / $8,514.74 / $19,228.83	Facility		$5,096.18	$8,514.74	$19,228.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,635.53 / $9,459.00 / $17,740.40	Facility	50	$5,635.53	$9,459.00	$17,740.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.17 / $545.59 / $1,620.13	Professional		$382.17	$545.59	$1,620.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $581.74 / $741.55	Professional		$266.39	$581.74	$741.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.77 / $698.00 / $1,209.41	Professional		$470.77	$698.00	$1,209.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $2,938.91 / $5,544.25	Facility		$493.18	$2,938.91	$5,544.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.65 / $631.32 / $1,095.73	Professional		$445.65	$631.32	$1,095.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.81 / $542.41 / $782.00	Facility		$425.81	$542.41	$782.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $768.00 / $837.00 / $1,203.75	Facility	50	$768.00	$837.00	$1,203.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $102.40 / $111.60 / $160.50	Facility	80	$102.40	$111.60	$160.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $69.03 / $78.12 / $108.18	Facility	AS	$69.03	$78.12	$108.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $557.00 / $754.00 / $2,145.10	Professional		$557.00	$754.00	$2,145.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16,079.13 / $16,079.13 / $16,079.13	Facility		$16,079.13	$16,079.13	$16,079.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $654.11 / $834.70	Professional		$490.30	$654.11	$834.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,717.00 / $2,500.00 / $18,665.00	Facility		$1,717.00	$2,500.00	$18,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $482.46 / $1,039.28	Professional		$360.90	$482.46	$1,039.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,853.69 / $16,223.75 / $26,542.00	Facility		$2,853.69	$16,223.75	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $96.86 / $1,537.78 / $1,537.78	Facility	AS	$96.86	$1,537.78	$1,537.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,959.35 / $3,959.35 / $3,959.35	Professional		$3,959.35	$3,959.35	$3,959.35