Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.83 / $6,384.00 / $9,632.66	Facility		$643.83	$6,384.00	$9,632.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $736.17 / $1,734.91	Professional		$626.39	$736.17	$1,734.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $544.41 / $965.89 / $1,171.57	Professional		$544.41	$965.89	$1,171.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.40 / $1,110.49 / $1,725.84	Professional		$780.40	$1,110.49	$1,725.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.41 / $985.73 / $1,765.89	Professional		$636.41	$985.73	$1,765.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $643.83 / $903.34 / $1,576.03	Facility		$643.83	$903.34	$1,576.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $173.20 / $180.67 / $315.20	Facility	80	$173.20	$180.67	$315.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $103.23 / $126.47 / $220.64	Facility	AS	$103.23	$126.47	$220.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $903.34 / $903.34 / $903.34	Professional		$903.34	$903.34	$903.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $827.40 / $962.61 / $1,125.97	Professional		$827.40	$962.61	$1,125.97
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 $636.41 / $795.53 / $1,787.37	Professional		$636.41	$795.53	$1,787.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,207.35 / $9,011.04 / $26,542.00	Facility		$4,207.35	$9,011.04	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $143.72 / $157.55 / $854.12	Facility	AS	$143.72	$157.55	$854.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,580.16 / $4,580.16 / $5,543.70	Professional		$4,580.16	$4,580.16	$5,543.70