Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.52 / $6,189.68 / $9,767.42	Facility		$1,014.52	$6,189.68	$9,767.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $734.66 / $1,438.28	Professional		$530.01	$734.66	$1,438.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,025.90 / $1,025.90 / $1,335.57	Professional		$1,025.90	$1,025.90	$1,335.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.07 / $1,087.85 / $1,790.74	Professional		$857.07	$1,087.85	$1,790.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.18 / $1,052.20 / $2,018.55	Professional		$714.18	$1,052.20	$2,018.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $734.66 / $1,001.00 / $1,724.44	Facility		$734.66	$1,001.00	$1,724.44
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $154.52 / $200.20 / $344.89	Facility	80	$154.52	$200.20	$344.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.16 / $140.13 / $241.42	Facility	AS	$108.16	$140.13	$241.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $772.60 / $772.60 / $772.60	Professional		$772.60	$772.60	$772.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $939.50 / $1,103.36 / $1,290.73	Professional		$939.50	$1,103.36	$1,290.73
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 $589.24 / $853.30 / $2,033.82	Professional		$589.24	$853.30	$2,033.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,821.81 / $17,070.15 / $26,542.00	Facility		$4,821.81	$17,070.15	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $164.52 / $180.74 / $1,618.01	Facility	AS	$164.52	$180.74	$1,618.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,209.04 / $5,209.04 / $6,354.15	Professional		$5,209.04	$5,209.04	$6,354.15