Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.75 / $3,399.47 / $8,413.00	Facility		$891.75	$3,399.47	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.62 / $1,052.57 / $2,513.80	Professional		$769.62	$1,052.57	$2,513.80
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $30.73 / $220.31 / $658.00	Professional	AS	$30.73	$220.31	$658.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.28 / $1,291.79 / $2,351.88	Professional		$932.28	$1,291.79	$2,351.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.63 / $1,259.93 / $2,424.98	Professional		$955.63	$1,259.93	$2,424.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.16 / $1,189.02 / $1,510.19	Facility		$842.16	$1,189.02	$1,510.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $203.57 / $267.93 / $410.76	Facility	80	$203.57	$267.93	$410.76
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.50 / $187.55 / $282.25	Facility	AS	$142.50	$187.55	$282.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,339.63 / $1,339.63 / $1,339.63	Professional		$1,339.63	$1,339.63	$1,339.63
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $187.55 / $187.55 / $187.55	Professional	AS	$187.55	$187.55	$187.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.37 / $1,530.37 / $1,897.48	Professional		$1,530.37	$1,530.37	$1,897.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $890.98 / $1,058.04 / $2,492.69	Professional		$890.98	$1,058.04	$2,492.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,958.84 / $5,958.84	Facility		$55.00	$5,958.84	$5,958.84
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $436.07 / $436.07 / $436.07	Facility	AS	$436.07	$436.07	$436.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,285.28 / $7,360.28 / $9,170.62	Professional		$6,285.28	$7,360.28	$9,170.62