Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.56 / $1,615.00 / $7,278.00	Facility		$313.56	$1,615.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.56 / $1,135.04 / $1,961.41	Professional		$313.56	$1,135.04	$1,961.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.05 / $395.05 / $395.05	Professional		$395.05	$395.05	$395.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.18 / $1,502.80 / $2,276.32	Professional		$473.18	$1,502.80	$2,276.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.33 / $1,034.57 / $2,423.11	Professional		$374.33	$1,034.57	$2,423.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.81 / $1,174.23 / $1,803.20	Facility		$316.81	$1,174.23	$1,803.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.44 / $1,107.44 / $1,107.44	Professional		$1,107.44	$1,107.44	$1,107.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $469.87 / $1,033.90 / $1,900.66	Professional		$469.87	$1,033.90	$1,900.66
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.71 / $1,317.61 / $2,909.17	Professional		$904.71	$1,317.61	$2,909.17
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,070.58 / $2,070.58 / $16,394.00	Facility		$2,070.58	$2,070.58	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,204.42 / $7,853.44 / $9,393.00	Professional		$4,204.42	$7,853.44	$9,393.00