Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,248.07 / $15,488.17	Facility		$758.58	$5,248.07	$15,488.17
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	22	$3,235.94	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $2,951.21	Professional		$562.34	$870.96	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $741.31	Professional		$512.86	$575.44	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,370.32	Facility		$3,801.89	$3,801.89	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $2,041.74	Professional		$707.95	$1,122.02	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,698.24	Professional		$645.65	$977.24	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,862.09	Professional		$1,230.27	$1,230.27	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,445.44	Facility		$602.56	$870.96	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $1,995.26	Professional		$912.01	$1,513.56	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,791.08 / $22,908.68	Facility		$5,370.32	$14,791.08	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,479.11	Professional		$537.03	$794.33	$1,479.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $33,884.42	Facility		$28,183.83	$28,183.83	$33,884.42
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	AS	$2,818.38	$2,818.38	$2,818.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $6,456.54	Professional		$5,623.41	$5,623.41	$6,456.54