Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.55 / $3,557.20 / $5,139.64	Facility		$357.55	$3,557.20	$5,139.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $573.16 / $7,114.40 / $8,005.89	Facility	50	$573.16	$7,114.40	$8,005.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $421.51 / $856.59	Professional		$187.51	$421.51	$856.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $286.70 / $650.07 / $1,783.56	Professional	50	$286.70	$650.07	$1,783.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $610.39 / $610.39 / $610.39	Professional		$610.39	$610.39	$610.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $706.68 / $1,017.85	Professional		$337.92	$706.68	$1,017.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,587.44	Facility		$606.10	$606.10	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.82 / $511.53 / $956.63	Professional		$275.82	$511.53	$956.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.51 / $459.31 / $619.44	Facility		$187.51	$459.31	$619.44
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $614.24 / $895.17 / $1,269.84	Facility	50	$614.24	$895.17	$1,269.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $517.00 / $596.78	Professional		$517.00	$517.00	$596.78
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $895.17 / $895.17 / $895.17	Professional	50	$895.17	$895.17	$895.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,376.77 / $2,376.77 / $2,376.77	Facility		$2,376.77	$2,376.77	$2,376.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $570.90 / $725.60	Professional		$274.41	$570.90	$725.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.27 / $587.08 / $1,004.55	Professional		$366.27	$587.08	$1,004.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,100.15 / $1,100.15 / $40,000.00	Facility		$1,100.15	$1,100.15	$40,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,611.81 / $3,108.48 / $3,600.53	Professional		$1,611.81	$3,108.48	$3,600.53