Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,462.92 / $9,066.02	Facility		$1,615.00	$4,462.92	$9,066.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,666.60 / $2,959.70 / $4,405.16	Facility	50	$1,666.60	$2,959.70	$4,405.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.01 / $414.94 / $827.19	Professional		$343.01	$414.94	$827.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $309.83 / $309.83	Professional		$309.83	$309.83	$309.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.58 / $661.04 / $1,032.77	Professional		$442.58	$661.04	$1,032.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.37 / $593.59 / $999.31	Professional		$428.37	$593.59	$999.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.01 / $583.12 / $1,367.00	Facility		$343.01	$583.12	$1,367.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $760.40 / $1,368.30 / $2,050.50	Facility	50	$760.40	$1,368.30	$2,050.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $506.93 / $506.93 / $874.39	Professional		$506.93	$506.93	$874.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $623.20 / $863.30	Professional		$5.00	$623.20	$863.30
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 $354.65 / $528.54 / $1,054.85	Professional		$354.65	$528.54	$1,054.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,934.94 / $9,388.90 / $26,542.00	Facility		$1,934.94	$9,388.90	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,068.89 / $5,068.89 / $5,068.89	Professional		$5,068.89	$5,068.89	$5,068.89