Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.38 / $2,634.32 / $8,654.94	Facility		$570.38	$2,634.32	$8,654.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,839.78 / $6,129.80 / $8,002.00	Facility	50	$2,839.78	$6,129.80	$8,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $703.40 / $1,195.54	Professional		$519.99	$703.40	$1,195.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $894.40 / $1,043.36 / $3,116.00	Professional	50	$894.40	$1,043.36	$3,116.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $543.10 / $543.10 / $543.10	Professional		$543.10	$543.10	$543.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,005.56 / $1,005.56 / $1,005.56	Professional	50	$1,005.56	$1,005.56	$1,005.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.64 / $770.93 / $1,672.06	Professional		$619.64	$770.93	$1,672.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.94 / $817.05 / $1,808.29	Professional		$540.94	$817.05	$1,808.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $570.38 / $833.74 / $1,305.40	Facility		$570.38	$833.74	$1,305.40
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,026.61 / $1,516.50 / $2,196.87	Facility	50	$1,026.61	$1,516.50	$2,196.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $859.28 / $902.00 / $902.00	Professional		$859.28	$902.00	$902.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,288.92 / $1,288.92 / $1,288.92	Professional	50	$1,288.92	$1,288.92	$1,288.92
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 $585.54 / $765.73 / $1,768.07	Professional		$585.54	$765.73	$1,768.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,054.44 / $4,054.44 / $26,542.00	Facility		$4,054.44	$4,054.44	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,208.00 / $7,208.00 / $7,208.00	Professional		$7,208.00	$7,208.00	$7,208.00