Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.68 / $2,943.75 / $5,981.45	Facility		$923.68	$2,943.75	$5,981.45
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.09 / $598.09 / $870.52	Facility	54	$598.09	$598.09	$870.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.28 / $797.45 / $1,574.79	Professional		$636.28	$797.45	$1,574.79
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $114.02 / $119.62 / $171.03	Professional	55	$114.02	$119.62	$171.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $740.57 / $740.57 / $1,099.77	Professional		$740.57	$740.57	$1,099.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.85 / $1,003.54 / $2,159.36	Professional		$711.85	$1,003.54	$2,159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $965.37 / $1,854.35	Professional		$669.18	$965.37	$1,854.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $789.77 / $894.00 / $1,293.27	Facility		$789.77	$894.00	$1,293.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $863.30 / $924.00 / $924.00	Professional		$863.30	$924.00	$924.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,300.00 / $6,300.00 / $6,300.00	Facility		$6,300.00	$6,300.00	$6,300.00
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 $615.38 / $778.64 / $1,880.31	Professional		$615.38	$778.64	$1,880.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,441.20 / $11,879.05 / $12,000.00	Facility		$4,441.20	$11,879.05	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,318.88 / $1,481.76 / $7,881.75	Facility	54	$1,318.88	$1,481.76	$7,881.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,899.52 / $5,899.52 / $6,737.48	Professional		$5,899.52	$5,899.52	$6,737.48