Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.27 / $2,491.50 / $5,324.26	Facility		$432.27	$2,491.50	$5,324.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $943.40 / $7,125.68 / $8,572.57	Facility	50	$943.40	$7,125.68	$8,572.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $418.39 / $925.93	Professional		$187.55	$418.39	$925.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $328.73 / $627.76 / $1,922.78	Professional	50	$328.73	$627.76	$1,922.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.88 / $455.88 / $455.88	Professional		$455.88	$455.88	$455.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $588.54 / $588.54 / $1,053.78	Professional	50	$588.54	$588.54	$1,053.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.54 / $987.54 / $1,001.95	Facility		$987.54	$987.54	$1,001.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.19 / $705.09 / $1,000.37	Professional		$331.19	$705.09	$1,000.37
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 $272.04 / $503.48 / $965.24	Professional		$272.04	$503.48	$965.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.55 / $458.31 / $611.46	Facility		$187.55	$458.31	$611.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $619.79 / $879.80 / $1,281.30	Facility	50	$619.79	$879.80	$1,281.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $586.53	Professional		$511.00	$511.00	$586.53
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $879.80 / $879.80 / $879.80	Professional	50	$879.80	$879.80	$879.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,318.16 / $2,318.16 / $2,318.16	Facility		$2,318.16	$2,318.16	$2,318.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $575.90 / $735.18	Professional		$274.88	$575.90	$735.18
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 $362.29 / $565.25 / $1,144.02	Professional		$362.29	$565.25	$1,144.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,100.65 / $1,100.65 / $40,000.00	Facility		$1,100.65	$1,100.65	$40,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,624.13 / $3,135.84 / $3,630.45	Professional		$1,624.13	$3,135.84	$3,630.45