Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $21,877.62	Facility		$5,248.07	$10,000.00	$21,877.62
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,585.78 / $9,120.11 / $9,772.37	Facility	22	$7,585.78	$9,120.11	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $10,471.29 / $19,498.45	Facility	50	$4,786.30	$10,471.29	$19,498.45
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Facility	AS	$15,848.93	$15,848.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,905.46 / $9,120.11	Professional		$467.74	$1,905.46	$9,120.11
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $323.59 / $977.24	Professional	AS	$162.18	$323.59	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,258.93 / $2,089.30	Professional		$181.97	$1,258.93	$2,089.30
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	AS	$138.04	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $19,498.45	Facility		$5,754.40	$5,754.40	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $3,715.35	Professional		$1,659.59	$2,884.03	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,388.44	Professional		$1,412.54	$1,949.84	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,951.21	Professional		$2,570.40	$2,570.40	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,090.30	Facility		$1,258.93	$1,778.28	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,630.27	Professional		$1,819.70	$1,995.26	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $21,379.62 / $28,840.32	Facility		$9,549.93	$21,379.62	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,818.38	Professional		$1,148.15	$1,621.81	$2,818.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $52,480.75 / $52,480.75	Facility		$33,884.42	$52,480.75	$52,480.75
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility	54	$37,153.52	$37,153.52	$37,153.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	AS	$5,248.07	$5,248.07	$5,248.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18