Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,647.00 / $8,371.84	Facility		$1,020.00	$3,647.00	$8,371.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,050.38 / $2,050.38 / $4,843.30	Facility	50	$2,050.38	$2,050.38	$4,843.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $146.55 / $174.41 / $242.15	Facility	52	$146.55	$174.41	$242.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $58.62 / $69.76 / $96.86	Facility	53	$58.62	$69.76	$96.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $365.90 / $709.28	Professional		$293.08	$365.90	$709.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $264.37 / $264.37	Professional		$264.37	$264.37	$264.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.58 / $557.15 / $879.34	Professional		$415.58	$557.15	$879.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.49 / $505.90 / $851.50	Professional		$364.49	$505.90	$851.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $293.08 / $498.25 / $945.00	Facility		$293.08	$498.25	$945.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $648.26 / $1,155.59 / $1,417.50	Facility	50	$648.26	$1,155.59	$1,417.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $432.17 / $432.17 / $742.90	Professional		$432.17	$432.17	$742.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $529.60 / $738.00	Professional		$3.00	$529.60	$738.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,756.00 / $10,502.00	Facility		$2,526.00	$7,756.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.87 / $424.02 / $899.81	Professional		$302.87	$424.02	$899.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,103.52 / $9,388.90 / $26,542.00	Facility		$1,103.52	$9,388.90	$26,542.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $551.76 / $7,119.48 / $7,119.48	Facility	52	$551.76	$7,119.48	$7,119.48
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $137.94 / $1,779.87 / $1,779.87	Facility	53	$137.94	$1,779.87	$1,779.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,853.12 / $2,853.12 / $2,853.12	Professional		$2,853.12	$2,853.12	$2,853.12