Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.86 / $9,384.70 / $14,782.00	Facility		$1,580.86	$9,384.70	$14,782.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,397.92 / $4,397.92 / $6,284.08	Facility		$4,397.92	$4,397.92	$6,284.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,220.54	Facility		$606.10	$606.10	$8,220.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,027.96 / $1,355.70 / $1,886.80	Facility		$1,027.96	$1,355.70	$1,886.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,892.27 / $2,374.65 / $3,638.98	Facility	50	$1,892.27	$2,374.65	$3,638.98
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $252.30 / $316.62 / $485.20	Facility	80	$252.30	$316.62	$485.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.61 / $221.63 / $325.25	Facility	AS	$176.61	$221.63	$325.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $19,299.15 / $19,299.15 / $19,299.15	Facility		$19,299.15	$19,299.15	$19,299.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,963.40 / $26,542.00 / $27,167.40	Facility		$3,963.40	$26,542.00	$27,167.40
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $241.80 / $1,548.16 / $2,575.09	Facility	AS	$241.80	$1,548.16	$2,575.09