Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.15 / $5,606.33 / $9,632.20	Facility		$1,061.15	$5,606.33	$9,632.20
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $536.27 / $708.02 / $929.90	Facility	54	$536.27	$708.02	$929.90
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $107.25 / $141.60 / $185.98	Facility	55	$107.25	$141.60	$185.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.17 / $912.60 / $1,597.64	Professional		$708.17	$912.60	$1,597.64
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $523.58 / $536.27 / $1,049.86	Professional	54	$523.58	$536.27	$1,049.86
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $104.30 / $107.25 / $170.63	Professional	55	$104.30	$107.25	$170.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $475.67 / $679.52 / $1,355.88	Professional		$475.67	$679.52	$1,355.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.06 / $1,265.07 / $2,416.94	Professional		$727.06	$1,265.07	$2,416.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.33 / $1,076.58 / $2,375.10	Professional		$705.33	$1,076.58	$2,375.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $715.02 / $1,128.00 / $1,693.10	Facility		$715.02	$1,128.00	$1,693.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,185.00 / $1,692.00 / $2,139.33	Facility	50	$1,185.00	$1,692.00	$2,139.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $983.00 / $983.00 / $1,267.81	Professional		$983.00	$983.00	$1,267.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,146.08 / $3,146.08 / $3,146.08	Facility		$3,146.08	$3,146.08	$3,146.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $783.85 / $886.35 / $1,162.17	Professional		$783.85	$886.35	$1,162.17
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 $699.91 / $956.38 / $1,879.65	Professional		$699.91	$956.38	$1,879.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,368.65 / $6,887.55 / $26,542.00	Facility		$3,368.65	$6,887.55	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,198.40 / $1,346.41 / $4,569.92	Facility	54	$1,198.40	$1,346.41	$4,569.92
Wellcare Facility/Professional Facility Modifier 55 Low / Median / High Price $256.80 / $288.52 / $979.27	Facility	55	$256.80	$288.52	$979.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,925.00 / $6,925.00 / $6,925.00	Professional		$6,925.00	$6,925.00	$6,925.00