Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $831.76 / $5,495.41	Facility		$288.40	$831.76	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,513.56	Facility	50	$1,122.02	$1,122.02	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $1,621.81	Professional		$288.40	$467.74	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $1,047.13 / $4,073.80	Professional	50	$602.56	$1,047.13	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $588.84	Professional		$323.59	$380.19	$588.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $891.25 / $2,570.40	Professional	50	$489.78	$891.25	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,122.02 / $1,995.26	Professional		$501.19	$1,122.02	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $1,202.26	Professional		$346.74	$660.69	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $1,621.81	Facility		$295.12	$457.09	$1,621.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,238.72	Facility		$1,479.11	$1,479.11	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $524.81	Professional		$426.58	$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 $295.12 / $794.33 / $1,412.54	Professional		$295.12	$794.33	$1,412.54
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 $4,897.79 / $5,370.32 / $5,370.32	Professional		$4,897.79	$5,370.32	$5,370.32