Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $7,244.36	Facility		$398.11	$1,148.15	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $1,445.44 / $10,715.19	Facility	50	$1,445.44	$1,445.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $831.76	Professional		$281.84	$371.54	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $660.69 / $1,698.24	Professional	50	$407.38	$660.69	$1,698.24
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $363.08 / $630.96	Professional	54	$239.88	$363.08	$630.96
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $63.10 / $72.44 / $389.05	Professional	55	$63.10	$72.44	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $562.34	Professional		$245.47	$295.12	$562.34
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $467.74 / $851.14	Professional	50	$295.12	$467.74	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $741.31	Professional		$218.78	$354.81	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $724.44	Professional		$257.04	$389.05	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $691.83	Facility		$295.12	$380.19	$691.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $794.33	Facility		$758.58	$758.58	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $467.74 / $524.81	Professional		$436.52	$467.74	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,137.96 / $4,265.80	Facility		$776.25	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $676.08	Professional		$245.47	$323.59	$676.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $28,840.32	Facility		$1,995.26	$1,995.26	$28,840.32
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	54	$1,348.96	$1,348.96	$1,348.96
Wellcare Facility/Professional Facility Modifier 55 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	55	$288.40	$288.40	$288.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,754.23	Professional		$2,398.83	$2,398.83	$2,754.23