Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.41 / $3,875.36 / $8,413.00	Facility		$569.41	$3,875.36	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $424.66 / $940.84	Professional		$366.98	$424.66	$940.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.61 / $562.61 / $562.61	Professional		$562.61	$562.61	$562.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.58 / $667.93 / $1,129.50	Professional		$412.58	$667.93	$1,129.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $593.38 / $1,027.55	Professional		$448.93	$593.38	$1,027.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.24 / $513.30 / $752.14	Facility		$398.24	$513.30	$752.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $64.86 / $71.86 / $126.00	Facility	AS	$64.86	$71.86	$126.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $505.00 / $526.00	Professional		$505.00	$505.00	$526.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $534.60 / $1,084.09	Professional		$3.00	$534.60	$1,084.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,711.00 / $6,331.00 / $9,616.00	Facility		$1,711.00	$6,331.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.28 / $493.40 / $985.23	Professional		$354.28	$493.40	$985.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,950.27 / $6,817.20	Facility		$55.00	$5,950.27	$6,817.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $92.01 / $388.48 / $646.16	Facility	AS	$92.01	$388.48	$646.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,934.80 / $3,529.73 / $3,529.73	Professional		$2,934.80	$3,529.73	$3,529.73