Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.36 / $3,819.00 / $6,899.71	Facility		$465.36	$3,819.00	$6,899.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $465.36 / $1,005.19	Professional		$321.12	$465.36	$1,005.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $445.07 / $445.07 / $445.07	Professional		$445.07	$445.07	$445.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $696.17 / $1,156.51	Professional		$456.50	$696.17	$1,156.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.13 / $626.11 / $1,085.33	Professional		$405.13	$626.11	$1,085.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $326.63 / $532.59 / $845.42	Facility		$326.63	$532.59	$845.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $61.91 / $74.56 / $154.03	Facility	AS	$61.91	$74.56	$154.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $532.59 / $532.59 / $1,170.02	Professional		$532.59	$532.59	$1,170.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $543.60 / $630.66 / $978.64	Professional		$543.60	$630.66	$978.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.57 / $604.89 / $1,289.54	Professional		$409.57	$604.89	$1,289.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,925.20 / $1,925.20	Facility		$55.00	$1,925.20	$1,925.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $169.56 / $169.56 / $169.56	Facility	AS	$169.56	$169.56	$169.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,415.84 / $2,910.75 / $4,039.35	Professional		$2,415.84	$2,910.75	$4,039.35