Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.28 / $4,533.83 / $9,561.00	Facility		$648.28	$4,533.83	$9,561.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $342.90 / $486.21 / $753.16	Facility	54	$342.90	$486.21	$753.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $570.89 / $1,020.55	Professional		$411.75	$570.89	$1,020.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $437.23 / $437.23 / $887.10	Professional		$437.23	$437.23	$887.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.33 / $683.53 / $1,462.47	Professional		$448.33	$683.53	$1,462.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.83 / $684.40 / $1,425.98	Professional		$452.83	$684.40	$1,425.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.20 / $648.28 / $990.11	Facility		$457.20	$648.28	$990.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $749.31 / $803.00 / $803.00	Professional		$749.31	$803.00	$803.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,560.50 / $1,560.50 / $1,560.50	Facility		$1,560.50	$1,560.50	$1,560.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.41 / $746.80 / $1,041.60	Professional		$512.41	$746.80	$1,041.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.27 / $696.33 / $1,586.09	Professional		$523.27	$696.33	$1,586.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,271.74 / $3,271.74 / $26,542.00	Facility		$3,271.74	$3,271.74	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,708.32 / $1,708.32 / $1,708.32	Facility	54	$1,708.32	$1,708.32	$1,708.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,473.76 / $4,783.60 / $5,502.38	Professional		$3,473.76	$4,783.60	$5,502.38