Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $11,986.00 / $20,878.09	Facility		$1,600.00	$11,986.00	$20,878.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,548.62 / $3,422.00	Professional		$1,291.35	$1,548.62	$3,422.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $180.40 / $366.52 / $946.33	Professional	AS	$180.40	$366.52	$946.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,501.42 / $1,963.53 / $2,512.56	Professional		$1,501.42	$1,963.53	$2,512.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,566.00 / $20,566.00 / $20,566.00	Facility		$20,566.00	$20,566.00	$20,566.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,731.38 / $2,560.52 / $3,876.07	Professional		$1,731.38	$2,560.52	$3,876.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $18,362.00	Facility		$606.10	$606.10	$18,362.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.49 / $2,085.80 / $3,671.52	Professional		$1,610.49	$2,085.80	$3,671.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,414.05 / $1,858.11 / $3,049.01	Facility		$1,414.05	$1,858.11	$3,049.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $352.80 / $371.62 / $667.43	Facility	80	$352.80	$371.62	$667.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $230.68 / $260.14 / $467.20	Facility	AS	$230.68	$260.14	$467.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $1,818.00 / $1,858.11	Professional		$1,818.00	$1,818.00	$1,858.11
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $260.14 / $260.14 / $260.14	Professional	AS	$260.14	$260.14	$260.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,873.50 / $3,953.10	Professional		$10.00	$1,873.50	$3,953.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,257.48 / $1,797.19 / $3,540.53	Professional		$1,257.48	$1,797.19	$3,540.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $71,884.27 / $82,357.35	Facility		$55.00	$71,884.27	$82,357.35
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $325.52 / $4,693.22 / $7,806.31	Facility	AS	$325.52	$4,693.22	$7,806.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,391.76 / $10,391.76 / $12,346.43	Professional		$10,391.76	$10,391.76	$12,346.43