Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.79 / $2,675.00 / $7,993.00	Facility		$375.79	$2,675.00	$7,993.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,287.60 / $1,928.80 / $2,831.18	Facility	50	$1,287.60	$1,928.80	$2,831.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $375.79 / $719.86	Professional		$273.88	$375.79	$719.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,127.68 / $1,179.08 / $1,600.68	Professional	50	$1,127.68	$1,179.08	$1,600.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $656.85 / $656.85 / $656.85	Professional		$656.85	$656.85	$656.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.98 / $576.59 / $926.52	Professional		$423.98	$576.59	$926.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $525.37 / $959.81	Professional		$349.83	$525.37	$959.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.38 / $480.76 / $750.35	Facility		$281.38	$480.76	$750.35
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $544.54 / $744.00 / $1,347.13	Facility	50	$544.54	$744.00	$1,347.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $480.76 / $480.76 / $935.88	Professional		$480.76	$480.76	$935.88
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $721.14 / $721.14 / $721.14	Professional	50	$721.14	$721.14	$721.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $426.40 / $1,002.90	Professional		$5.00	$426.40	$1,002.90
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 $368.23 / $508.16 / $1,040.73	Professional		$368.23	$508.16	$1,040.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,971.48 / $1,971.48	Facility		$55.00	$1,971.48	$1,971.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,086.40 / $2,759.20 / $3,216.75	Professional		$2,086.40	$2,759.20	$3,216.75