Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.14 / $2,498.58 / $5,928.01	Facility		$334.14	$2,498.58	$5,928.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $256.94 / $536.83	Professional		$176.90	$256.94	$536.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $249.79 / $363.16	Professional		$93.49	$249.79	$363.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.77 / $481.23 / $690.50	Professional		$310.77	$481.23	$690.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.40 / $340.90 / $577.59	Professional		$235.40	$340.90	$577.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.81 / $354.14 / $539.91	Facility		$185.81	$354.14	$539.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $29.33 / $60.64 / $73.56	Facility	AS	$29.33	$60.64	$73.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.14 / $354.14 / $354.14	Professional		$354.14	$354.14	$354.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.49 / $329.72 / $385.93	Professional		$267.49	$329.72	$385.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.97 / $345.36 / $622.76	Professional		$230.97	$345.36	$622.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $923.07 / $923.07 / $12,000.00	Facility		$923.07	$923.07	$12,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $92.31 / $92.31 / $92.31	Facility	AS	$92.31	$92.31	$92.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,350.64 / $1,862.48 / $2,268.59	Professional		$1,350.64	$1,862.48	$2,268.59