Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.15 / $2,851.72 / $5,705.20	Facility		$250.15	$2,851.72	$5,705.20
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,844.87 / $2,844.87 / $2,844.87	Facility	62	$2,844.87	$2,844.87	$2,844.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $462.76 / $2,004.00	Professional		$241.36	$462.76	$2,004.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $33.11 / $90.65 / $280.07	Professional	AS	$33.11	$90.65	$280.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $380.66 / $403.73	Professional		$219.16	$380.66	$403.73
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $43.59 / $64.59 / $64.59	Professional	AS	$43.59	$64.59	$64.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,627.30 / $3,627.30 / $5,182.95	Facility		$3,627.30	$3,627.30	$5,182.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.10 / $516.96 / $717.02	Professional		$320.10	$516.96	$717.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $389.69 / $659.99	Professional		$293.79	$389.69	$659.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.15 / $358.51 / $473.75	Facility		$250.15	$358.51	$473.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $71.70 / $71.70 / $118.07	Facility	80	$71.70	$71.70	$118.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $48.98 / $50.19 / $82.65	Facility	AS	$48.98	$50.19	$82.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $328.00 / $358.51	Professional		$323.00	$328.00	$358.51
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $50.19 / $50.19 / $50.19	Professional	AS	$50.19	$50.19	$50.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $377.41 / $415.26	Professional		$327.00	$377.41	$415.26
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.63 / $320.01 / $628.59	Professional		$230.63	$320.01	$628.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $542.71 / $1,216.90 / $5,000.00	Facility		$542.71	$1,216.90	$5,000.00
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $220.50 / $384.88 / $760.56	Facility	62	$220.50	$384.88	$760.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $35.28 / $61.58 / $121.69	Facility	AS	$35.28	$61.58	$121.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,780.96 / $2,244.60 / $2,244.60	Professional		$1,780.96	$2,244.60	$2,244.60