Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.16 / $4,148.00 / $7,516.33	Facility		$652.16	$4,148.00	$7,516.33
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,036.68 / $4,191.62 / $7,193.04	Facility	50	$2,036.68	$4,191.62	$7,193.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $448.42 / $1,178.44	Professional		$368.06	$448.42	$1,178.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $619.71 / $1,321.63 / $1,857.18	Professional	50	$619.71	$1,321.63	$1,857.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.65 / $466.03 / $732.46	Professional		$356.65	$466.03	$732.46
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $794.80 / $924.25 / $1,069.95	Professional	50	$794.80	$924.25	$1,069.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $1,457.61 / $1,478.88	Facility		$1,457.61	$1,457.61	$1,478.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.21 / $653.30 / $1,137.88	Professional		$435.21	$653.30	$1,137.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $1,587.44	Facility		$530.04	$530.04	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.54 / $611.52 / $1,070.32	Professional		$454.54	$611.52	$1,070.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.17 / $546.50 / $830.00	Facility		$425.17	$546.50	$830.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $761.84 / $1,000.50 / $1,597.86	Facility	50	$761.84	$1,000.50	$1,597.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $533.00 / $600.00	Professional		$507.00	$533.00	$600.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $761.84 / $761.84 / $761.84	Professional	50	$761.84	$761.84	$761.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,376.16 / $2,376.16 / $2,376.16	Facility		$2,376.16	$2,376.16	$2,376.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.60 / $637.59 / $757.41	Professional		$407.60	$637.59	$757.41
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 $364.14 / $535.57 / $1,156.72	Professional		$364.14	$535.57	$1,156.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,039.68 / $2,282.04 / $16,394.00	Facility		$2,039.68	$2,282.04	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,829.00 / $4,131.06 / $4,131.06	Professional		$3,829.00	$4,131.06	$4,131.06