Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,905.46 / $8,317.64	Facility		$724.44	$1,905.46	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,621.81	Professional		$467.74	$776.25	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,019.95	Facility		$2,089.30	$2,089.30	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,778.28	Professional		$630.96	$891.25	$1,778.28
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 $575.44 / $870.96 / $1,659.59	Professional		$575.44	$870.96	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,995.26	Professional		$1,023.29	$1,023.29	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,348.96	Facility		$524.81	$831.76	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,659.59	Professional		$812.83	$1,288.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $9,332.54 / $14,454.40	Facility		$3,311.31	$9,332.54	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,380.38	Professional		$467.74	$724.44	$1,380.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $45,708.82	Facility		$25,118.86	$25,118.86	$45,708.82
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	AS	$2,511.89	$2,511.89	$2,511.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,918.31	Professional		$6,025.60	$6,025.60	$6,918.31