Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.28 / $1,278.08 / $7,696.12	Facility		$572.28	$1,278.08	$7,696.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $108.52 / $613.51 / $976.51	Facility	52	$108.52	$613.51	$976.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $510.02 / $2,025.36	Professional		$201.14	$510.02	$2,025.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.35 / $304.35 / $352.00	Professional		$304.35	$304.35	$352.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.29 / $1,038.77 / $2,221.82	Professional		$369.29	$1,038.77	$2,221.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $756.92 / $2,466.71	Professional		$299.27	$756.92	$2,466.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $217.03 / $1,211.56 / $1,851.54	Facility		$217.03	$1,211.56	$1,851.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,211.56 / $1,211.56 / $2,742.77	Professional		$1,211.56	$1,211.56	$2,742.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.27 / $1,210.30 / $2,061.80	Professional		$310.27	$1,210.30	$2,061.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.86 / $1,410.20 / $2,864.82	Professional		$912.86	$1,410.20	$2,864.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,179.96 / $2,179.96	Facility		$55.00	$2,179.96	$2,179.96
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $841.06 / $841.06 / $841.06	Facility	52	$841.06	$841.06	$841.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,427.10 / $8,561.36 / $10,043.10	Professional		$4,427.10	$8,561.36	$10,043.10