Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.99 / $3,550.45 / $7,278.00	Facility		$418.99	$3,550.45	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $734.44 / $1,641.24	Professional		$252.89	$734.44	$1,641.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.61 / $425.61 / $454.58	Professional		$356.61	$425.61	$454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.85 / $1,303.91 / $2,097.33	Professional		$447.85	$1,303.91	$2,097.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.69 / $890.37 / $1,735.98	Professional		$341.69	$890.37	$1,735.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.98 / $947.31 / $1,586.00	Facility		$258.98	$947.31	$1,586.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $70.81 / $141.37 / $225.32	Facility	AS	$70.81	$141.37	$225.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,009.79 / $1,009.79 / $1,009.79	Professional		$1,009.79	$1,009.79	$1,009.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.82 / $1,012.90 / $1,253.27	Professional		$362.82	$1,012.90	$1,253.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,257.00	Facility		$3,366.00	$9,541.00	$14,257.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.25 / $1,117.22 / $2,184.62	Professional		$763.25	$1,117.22	$2,184.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,458.26 / $1,458.26 / $16,394.00	Facility		$1,458.26	$1,458.26	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,961.07 / $5,647.28 / $6,632.48	Professional		$2,961.07	$5,647.28	$6,632.48