Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.43 / $7,595.57 / $10,453.00	Facility		$1,210.43	$7,595.57	$10,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.80 / $641.15 / $1,643.26	Professional		$322.80	$641.15	$1,643.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.86 / $737.74 / $928.62	Professional		$283.86	$737.74	$928.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.50 / $959.69 / $1,563.54	Professional		$717.50	$959.69	$1,563.54
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 $607.16 / $834.95 / $1,367.84	Professional		$607.16	$834.95	$1,367.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.88 / $865.75 / $1,346.03	Facility		$529.88	$865.75	$1,346.03
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,177.73 / $1,789.50 / $2,285.96	Facility	50	$1,177.73	$1,789.50	$2,285.96
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $157.03 / $238.60 / $304.80	Facility	80	$157.03	$238.60	$304.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $109.92 / $167.02 / $213.36	Facility	AS	$109.92	$167.02	$213.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $674.00 / $785.15	Professional		$674.00	$674.00	$785.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,186.39 / $4,186.39 / $4,186.39	Facility		$4,186.39	$4,186.39	$4,186.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $827.97 / $906.32	Professional		$720.00	$827.97	$906.32
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 $478.55 / $687.12 / $1,503.94	Professional		$478.55	$687.12	$1,503.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,553.05 / $8,957.00 / $33,500.00	Facility		$2,553.05	$8,957.00	$33,500.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $124.68 / $510.42 / $849.00	Facility	AS	$124.68	$510.42	$849.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,283.53 / $5,283.53 / $5,283.53	Professional		$5,283.53	$5,283.53	$5,283.53