Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.30 / $3,767.50 / $7,644.47	Facility		$697.30	$3,767.50	$7,644.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $341.14 / $866.97	Professional		$169.00	$341.14	$866.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $233.83 / $301.92	Professional		$177.74	$233.83	$301.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,922.13 / $1,922.13 / $2,746.48	Facility		$1,922.13	$1,922.13	$2,746.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.95 / $873.03 / $1,514.24	Professional		$307.95	$873.03	$1,514.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.48 / $442.27 / $1,089.95	Professional		$199.48	$442.27	$1,089.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $816.79 / $1,342.00	Facility		$169.00	$816.79	$1,342.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $64.26 / $163.36 / $268.39	Facility	80	$64.26	$163.36	$268.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.36 / $114.35 / $187.88	Facility	AS	$36.36	$114.35	$187.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $221.00 / $816.79	Professional		$218.00	$221.00	$816.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,979.20 / $8,979.20 / $8,979.20	Facility		$8,979.20	$8,979.20	$8,979.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $240.13 / $281.63	Professional		$213.23	$240.13	$281.63
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $285.54 / $863.04	Professional		$154.91	$285.54	$863.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $938.99 / $7,826.70 / $26,542.00	Facility		$938.99	$7,826.70	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $23.84 / $90.82 / $236.38	Facility	AS	$23.84	$90.82	$236.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,110.16 / $5,110.16 / $5,110.16	Professional		$5,110.16	$5,110.16	$5,110.16