Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.49 / $2,938.00 / $7,392.35	Facility		$574.49	$2,938.00	$7,392.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $574.49 / $1,073.06	Professional		$427.40	$574.49	$1,073.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.20 / $462.39 / $553.15	Professional		$231.20	$462.39	$553.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.52 / $904.40 / $1,514.28	Professional		$612.52	$904.40	$1,514.28
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 $546.88 / $765.69 / $1,317.55	Professional		$546.88	$765.69	$1,317.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $440.22 / $769.22 / $1,202.00	Facility		$440.22	$769.22	$1,202.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $122.40 / $196.42 / $240.40	Facility	80	$122.40	$196.42	$240.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.90 / $135.22 / $168.28	Facility	AS	$88.90	$135.22	$168.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $753.00 / $787.85	Professional		$579.00	$753.00	$787.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $776.70 / $1,633.00	Professional		$3.00	$776.70	$1,633.00
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 $518.87 / $706.07 / $1,449.68	Professional		$518.87	$706.07	$1,449.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,042.40 / $2,247.27 / $26,542.00	Facility		$2,042.40	$2,247.27	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $115.66 / $224.73 / $224.73	Facility	AS	$115.66	$224.73	$224.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,255.60 / $4,332.34 / $4,948.20	Professional		$3,255.60	$4,332.34	$4,948.20