Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.48 / $2,367.44 / $6,915.00	Facility		$501.48	$2,367.44	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $547.59 / $1,055.46	Professional		$347.68	$547.59	$1,055.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $299.62 / $599.23	Professional		$200.17	$299.62	$599.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.36 / $727.75 / $1,345.36	Professional		$446.36	$727.75	$1,345.36
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 $431.44 / $643.02 / $1,221.35	Professional		$431.44	$643.02	$1,221.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.38 / $646.10 / $946.97	Facility		$375.38	$646.10	$946.97
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $129.22 / $167.80 / $204.60	Facility	80	$129.22	$167.80	$204.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $90.44 / $112.56 / $143.22	Facility	AS	$90.44	$112.56	$143.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $713.00 / $733.00	Professional		$507.00	$713.00	$733.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $751.40 / $1,513.50	Professional		$3.00	$751.40	$1,513.50
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 $477.21 / $664.10 / $1,381.82	Professional		$477.21	$664.10	$1,381.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,805.72 / $1,999.28 / $16,394.00	Facility		$1,805.72	$1,999.28	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $102.06 / $199.93 / $199.93	Facility	AS	$102.06	$199.93	$199.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,869.12 / $4,116.96 / $4,780.05	Professional		$2,869.12	$4,116.96	$4,780.05