Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.01 / $2,997.00 / $5,021.09	Facility		$590.01	$2,997.00	$5,021.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $607.63 / $1,073.06	Professional		$433.23	$607.63	$1,073.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $359.39 / $489.65	Professional		$90.58	$359.39	$489.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.39 / $879.27 / $1,592.07	Professional		$579.39	$879.27	$1,592.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.05 / $778.78 / $1,414.48	Professional		$553.05	$778.78	$1,414.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $454.74 / $763.35 / $1,146.33	Facility		$454.74	$763.35	$1,146.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $123.43 / $205.54 / $242.12	Facility	80	$123.43	$205.54	$242.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $86.40 / $136.37 / $169.48	Facility	AS	$86.40	$136.37	$169.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $827.00 / $845.00	Professional		$579.00	$827.00	$845.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $865.60 / $1,774.00	Professional		$3.00	$865.60	$1,774.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.26 / $765.76 / $1,599.16	Professional		$552.26	$765.76	$1,599.16
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,165.67 / $2,390.87 / $26,542.00	Facility		$2,165.67	$2,390.87	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $122.02 / $239.09 / $239.09	Facility	AS	$122.02	$239.09	$239.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,436.64 / $4,746.47 / $5,528.55	Professional		$3,436.64	$4,746.47	$5,528.55