Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.55 / $7,439.00 / $12,096.71	Facility		$796.55	$7,439.00	$12,096.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $1,240.61 / $10,394.29	Professional		$488.73	$1,240.61	$10,394.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $528.54 / $528.54	Professional		$528.54	$528.54	$528.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.23 / $5,925.91 / $17,612.25	Professional		$696.23	$5,925.91	$17,612.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.85 / $1,749.53 / $13,839.46	Professional		$643.85	$1,749.53	$13,839.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $497.75 / $5,781.87 / $9,728.01	Facility		$497.75	$5,781.87	$9,728.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,907.00 / $8,853.00 / $9,728.01	Professional		$6,907.00	$8,853.00	$9,728.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,277.90	Professional		$5.00	$5.00	$7,277.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $14,893.00 / $22,265.00	Facility		$4,015.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,802.40 / $8,827.74 / $15,276.07	Professional		$5,802.40	$8,827.74	$15,276.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,446.76 / $3,446.76	Facility		$55.00	$3,446.76	$3,446.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $20,210.07 / $20,210.07 / $52,591.26	Professional		$20,210.07	$20,210.07	$52,591.26