Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.11 / $5,220.24 / $8,503.37	Facility		$1,429.11	$5,220.24	$8,503.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,802.54 / $6,646.33 / $9,973.50	Facility	50	$1,802.54	$6,646.33	$9,973.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.29 / $124.31 / $375.84	Facility	52	$75.29	$124.31	$375.84
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.12 / $49.72 / $150.34	Facility	53	$30.12	$49.72	$150.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $293.99 / $780.17	Professional		$142.78	$293.99	$780.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.25 / $546.60 / $1,824.03	Professional	50	$108.25	$546.60	$1,824.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $269.38 / $815.62	Professional		$208.46	$269.38	$815.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,223.43 / $1,223.43 / $1,223.43	Professional	50	$1,223.43	$1,223.43	$1,223.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $481.95 / $1,307.58	Professional		$240.22	$481.95	$1,307.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $451.15 / $1,034.50	Professional		$186.20	$451.15	$1,034.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.58 / $450.00 / $978.54	Facility		$150.58	$450.00	$978.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $550.41 / $675.00 / $1,467.82	Facility	50	$550.41	$675.00	$1,467.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $636.03 / $636.03 / $1,133.70	Professional		$636.03	$636.03	$1,133.70
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $954.05 / $954.05 / $954.05	Professional	50	$954.05	$954.05	$954.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9,018.67 / $17,749.37 / $26,847.98	Facility		$9,018.67	$17,749.37	$26,847.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,102.50 / $1,405.30	Professional		$3.00	$1,102.50	$1,405.30
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 $429.49 / $615.67 / $1,243.91	Professional		$429.49	$615.67	$1,243.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $969.57 / $969.57 / $16,394.00	Facility		$969.57	$969.57	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $606.59 / $606.59 / $606.59	Facility	52	$606.59	$606.59	$606.59
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $151.65 / $151.65 / $151.65	Facility	53	$151.65	$151.65	$151.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,561.00 / $4,483.93 / $4,871.00	Professional		$1,561.00	$4,483.93	$4,871.00