Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.60 / $3,843.00 / $9,012.15	Facility		$297.60	$3,843.00	$9,012.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $356.41 / $626.08	Professional		$177.33	$356.41	$626.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $79.30 / $79.30	Professional		$79.30	$79.30	$79.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.02 / $710.80 / $1,180.94	Professional		$354.02	$710.80	$1,180.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,282.91	Facility		$606.10	$606.10	$8,282.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.27 / $553.53 / $898.46	Professional		$238.27	$553.53	$898.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.65 / $475.56 / $834.19	Facility		$182.65	$475.56	$834.19
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $73.17 / $101.40 / $159.19	Facility	80	$73.17	$101.40	$159.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $51.22 / $68.41 / $111.44	Facility	AS	$51.22	$68.41	$111.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $487.00 / $515.00 / $606.00	Professional		$487.00	$515.00	$606.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $254.58 / $503.30 / $659.56	Professional		$254.58	$503.30	$659.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $8,736.00 / $14,257.00	Facility		$2,629.00	$8,736.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.07 / $540.73 / $972.39	Professional		$357.07	$540.73	$972.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $818.68 / $885.54 / $26,542.00	Facility		$818.68	$885.54	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $45.64 / $88.55 / $88.55	Facility	AS	$45.64	$88.55	$88.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,453.40 / $3,038.91 / $3,210.68	Professional		$1,453.40	$3,038.91	$3,210.68