Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.65 / $5,876.00 / $16,261.07	Facility		$894.65	$5,876.00	$16,261.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $767.33 / $1,720.23	Professional		$549.97	$767.33	$1,720.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $533.11 / $757.31 / $922.61	Professional		$533.11	$757.31	$922.61
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 $777.66 / $1,202.03 / $2,111.57	Professional		$777.66	$1,202.03	$2,111.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $16,853.70	Facility		$606.10	$606.10	$16,853.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.20 / $1,071.38 / $2,046.55	Professional		$717.20	$1,071.38	$2,046.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $593.80 / $1,034.00 / $1,508.66	Facility		$593.80	$1,034.00	$1,508.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $194.60 / $206.80 / $359.82	Facility	80	$194.60	$206.80	$359.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $136.22 / $144.76 / $248.24	Facility	AS	$136.22	$144.76	$248.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,316.00 / $1,316.00	Professional		$579.00	$1,316.00	$1,316.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.91 / $1,192.23 / $1,629.06	Professional		$726.91	$1,192.23	$1,629.06
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 $797.60 / $1,165.25 / $2,629.09	Professional		$797.60	$1,165.25	$2,629.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,772.72 / $3,043.75 / $26,542.00	Facility		$2,772.72	$3,043.75	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $156.61 / $304.38 / $304.38	Facility	AS	$156.61	$304.38	$304.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,414.80 / $7,266.00 / $8,437.79	Professional		$4,414.80	$7,266.00	$8,437.79