Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.43 / $1,338.00 / $8,413.00	Facility		$496.43	$1,338.00	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $659.89 / $1,131.17	Professional		$455.74	$659.89	$1,131.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $415.38 / $669.71	Professional		$266.52	$415.38	$669.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.19 / $944.04 / $1,608.01	Professional		$615.19	$944.04	$1,608.01
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 $558.30 / $834.18 / $1,496.09	Professional		$558.30	$834.18	$1,496.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $496.43 / $788.76 / $1,462.00	Facility		$496.43	$788.76	$1,462.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $831.00 / $868.00	Professional		$579.00	$831.00	$868.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $891.90 / $1,810.30	Professional		$4.00	$891.90	$1,810.30
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 $565.89 / $784.99 / $1,626.06	Professional		$565.89	$784.99	$1,626.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,943.10 / $2,943.10 / $26,542.00	Facility		$2,943.10	$2,943.10	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,701.92 / $5,079.67 / $5,774.40	Professional		$3,701.92	$5,079.67	$5,774.40