Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.73 / $778.58 / $10,087.00	Facility		$476.73	$778.58	$10,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.73 / $573.69 / $981.46	Professional		$476.73	$573.69	$981.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.82 / $141.82 / $683.21	Professional	50	$141.82	$141.82	$683.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $468.60 / $515.46 / $696.74	Professional		$468.60	$515.46	$696.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.62 / $817.06 / $1,467.45	Professional		$627.62	$817.06	$1,467.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.44 / $695.28 / $1,470.69	Professional		$482.44	$695.28	$1,470.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $476.73 / $724.07 / $1,183.00	Facility		$476.73	$724.07	$1,183.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $820.36	Professional		$640.00	$640.00	$820.36
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.54 / $1,230.54 / $1,230.54	Professional	50	$1,230.54	$1,230.54	$1,230.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $531.14 / $639.30 / $869.26	Professional		$531.14	$639.30	$869.26
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.84 / $608.02 / $1,242.39	Professional		$475.84	$608.02	$1,242.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,953.74	Facility		$55.00	$55.00	$3,953.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,599.44 / $4,088.48 / $4,227.08	Professional		$3,599.44	$4,088.48	$4,227.08