Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $5,754.40	Facility		$660.69	$1,000.00	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	50	$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $1,318.26	Professional		$229.09	$478.63	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $912.01 / $2,754.23	Professional	50	$660.69	$912.01	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $891.25	Professional		$208.93	$257.04	$891.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $380.19 / $977.24	Professional	50	$380.19	$380.19	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $524.81 / $1,202.26	Professional		$251.19	$524.81	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $1,071.52	Professional		$288.40	$524.81	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $436.52 / $831.76	Facility		$213.80	$436.52	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $380.19	Professional		$309.03	$338.84	$380.19
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 $346.74 / $512.86 / $977.24	Professional		$346.74	$512.86	$977.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $3,890.45	Facility		$56.23	$56.23	$3,890.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21