Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.22 / $7,824.82 / $9,737.71	Facility		$1,002.22	$7,824.82	$9,737.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.11 / $718.67 / $2,378.59	Professional		$550.11	$718.67	$2,378.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $589.08 / $755.11 / $940.07	Professional		$589.08	$755.11	$940.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.22 / $1,026.39 / $1,624.31	Professional		$744.22	$1,026.39	$1,624.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.27 / $876.01 / $1,420.05	Professional		$630.27	$876.01	$1,420.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $550.11 / $926.00 / $1,396.62	Facility		$550.11	$926.00	$1,396.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,261.07 / $1,930.50 / $2,373.19	Facility	50	$1,261.07	$1,930.50	$2,373.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.38 / $174.05 / $221.50	Facility	AS	$115.38	$174.05	$221.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $840.71	Professional		$700.00	$700.00	$840.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,125.01 / $4,125.01 / $4,125.01	Facility		$4,125.01	$4,125.01	$4,125.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $746.30 / $858.80 / $940.07	Professional		$746.30	$858.80	$940.07
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 $511.37 / $763.40 / $1,470.54	Professional		$511.37	$763.40	$1,470.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,648.80 / $8,957.00 / $26,542.00	Facility		$2,648.80	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $129.22 / $510.42 / $849.00	Facility	AS	$129.22	$510.42	$849.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,386.47 / $6,386.47 / $6,386.47	Professional		$6,386.47	$6,386.47	$6,386.47