Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.38 / $2,124.31 / $14,145.46	Facility		$578.38	$2,124.31	$14,145.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.56 / $674.45 / $1,180.39	Professional		$469.56	$674.45	$1,180.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $256.20 / $503.27	Professional		$256.20	$256.20	$503.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,112.83 / $2,112.83 / $3,018.97	Facility		$2,112.83	$2,112.83	$3,018.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.93 / $1,036.66 / $1,927.90	Professional		$678.93	$1,036.66	$1,927.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $2,710.28	Facility		$530.04	$530.04	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.24 / $870.39 / $1,558.12	Professional		$603.24	$870.39	$1,558.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $908.57 / $1,241.28	Facility		$483.65	$908.57	$1,241.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $169.00 / $218.00 / $268.98	Facility	80	$169.00	$218.00	$268.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.59 / $150.97 / $188.26	Facility	AS	$110.59	$150.97	$188.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $940.00 / $940.00	Professional		$507.00	$940.00	$940.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $593.77 / $863.91 / $1,114.96	Professional		$593.77	$863.91	$1,114.96
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 $640.82 / $904.69 / $1,858.72	Professional		$640.82	$904.69	$1,858.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,265.12 / $2,495.84 / $16,394.00	Facility		$2,265.12	$2,495.84	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $128.47 / $249.58 / $249.58	Facility	AS	$128.47	$249.58	$249.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $5,066.00 / $5,830.58	Professional		$3,800.00	$5,066.00	$5,830.58