Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,801.89 / $8,912.51	Facility		$630.96	$3,801.89	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,513.56 / $4,265.80	Professional		$380.19	$1,513.56	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $645.65 / $1,737.80	Professional		$177.83	$645.65	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,659.59 / $5,495.41	Professional		$616.60	$1,659.59	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,348.96 / $4,570.88	Professional		$512.86	$1,348.96	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,737.80 / $4,365.16	Facility		$380.19	$1,737.80	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $2,570.40	Professional		$549.54	$602.56	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $15,135.61 / $22,908.68	Facility		$6,760.83	$15,135.61	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,737.80 / $4,265.80	Professional		$426.58	$1,737.80	$4,265.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $44,668.36 / $44,668.36	Facility		$56.23	$44,668.36	$44,668.36
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $16,218.10	Professional		$14,125.38	$14,125.38	$16,218.10