Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $5,383.62 / $9,023.45	Facility		$640.73	$5,383.62	$9,023.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.16 / $588.35 / $1,699.19	Professional		$376.16	$588.35	$1,699.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.29 / $567.75 / $777.94	Professional		$219.29	$567.75	$777.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.89 / $1,794.89 / $1,821.08	Facility		$1,794.89	$1,794.89	$1,821.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $789.40 / $1,507.50	Professional		$487.59	$789.40	$1,507.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.34 / $696.80 / $1,300.25	Professional		$416.34	$696.80	$1,300.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.83 / $588.35 / $1,031.64	Facility		$408.83	$588.35	$1,031.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $96.80 / $144.55 / $220.61	Facility	80	$96.80	$144.55	$220.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $67.76 / $101.19 / $154.43	Facility	AS	$67.76	$101.19	$154.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $765.00 / $769.00	Professional		$579.00	$765.00	$769.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,313.14 / $5,313.14 / $5,313.14	Facility		$5,313.14	$5,313.14	$5,313.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.50 / $763.43 / $993.58	Professional		$574.50	$763.43	$993.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,756.00 / $10,902.00	Facility		$1,661.00	$7,756.00	$10,902.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.31 / $711.00 / $1,474.79	Professional		$509.31	$711.00	$1,474.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,903.40 / $2,903.40 / $26,542.00	Facility		$2,903.40	$2,903.40	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $108.20 / $212.92 / $212.92	Facility	AS	$108.20	$212.92	$212.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,057.76 / $4,303.20 / $5,073.75	Professional		$3,057.76	$4,303.20	$5,073.75