Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $1,313.22 / $5,449.00	Facility		$52.08	$1,313.22	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $1,210.88 / $2,089.23	Professional		$52.08	$1,210.88	$2,089.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,979.08 / $5,979.08 / $5,979.08	Professional	50	$5,979.08	$5,979.08	$5,979.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,129.09 / $1,129.09 / $1,129.09	Professional		$1,129.09	$1,129.09	$1,129.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $1,535.89 / $3,089.19	Professional		$86.27	$1,535.89	$3,089.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $1,082.64 / $2,972.18	Professional		$61.51	$1,082.64	$2,972.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $1,313.22 / $1,722.78	Facility		$52.08	$1,313.22	$1,722.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,686.12 / $1,745.00 / $1,745.00	Professional		$1,686.12	$1,745.00	$1,745.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,529.17 / $2,529.17 / $2,529.17	Professional	50	$2,529.17	$2,529.17	$2,529.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $77.77 / $1,749.76	Professional		$45.23	$77.77	$1,749.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.69 / $1,508.19 / $3,293.29	Professional		$1,179.69	$1,508.19	$3,293.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,277.14	Facility		$55.00	$55.00	$2,277.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,623.85 / $8,992.87 / $10,631.40	Professional		$4,623.85	$8,992.87	$10,631.40