Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.79 / $4,213.14 / $7,686.00	Facility		$641.79	$4,213.14	$7,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.72 / $442.43 / $977.27	Professional		$395.72	$442.43	$977.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $444.86 / $444.86 / $444.86	Professional		$444.86	$444.86	$444.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.89 / $1,794.89 / $1,821.08	Facility		$1,794.89	$1,794.89	$1,821.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.75 / $668.61 / $1,216.21	Professional		$432.75	$668.61	$1,216.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $1,215.60	Facility		$606.10	$606.10	$1,215.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.13 / $619.64 / $1,073.72	Professional		$470.13	$619.64	$1,073.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.86 / $537.96 / $788.28	Facility		$415.86	$537.96	$788.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $75.31 / $75.31 / $137.40	Facility	AS	$75.31	$75.31	$137.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $551.00	Professional		$530.00	$530.00	$551.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $560.70 / $1,138.70	Professional		$3.00	$560.70	$1,138.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.19 / $511.01 / $1,106.71	Professional		$371.19	$511.01	$1,106.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,506.49 / $4,017.35	Facility		$55.00	$3,506.49	$4,017.35
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $96.77 / $228.94 / $380.79	Facility	AS	$96.77	$228.94	$380.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,082.08 / $3,689.10 / $3,689.10	Professional		$3,082.08	$3,689.10	$3,689.10