Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.13 / $6,919.00 / $9,747.58	Facility		$362.13	$6,919.00	$9,747.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $2,049.69 / $4,427.33	Professional		$215.31	$2,049.69	$4,427.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $360.45 / $360.45 / $360.45	Professional		$360.45	$360.45	$360.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.52 / $2,397.73 / $6,303.97	Professional		$383.52	$2,397.73	$6,303.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $769.51 / $5,118.64	Professional		$304.95	$769.51	$5,118.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.31 / $2,049.69 / $4,283.85	Facility		$215.31	$2,049.69	$4,283.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,477.74 / $3,477.74 / $3,477.74	Professional		$3,477.74	$3,477.74	$3,477.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.80 / $295.80 / $295.80	Professional		$295.80	$295.80	$295.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,455.90 / $3,780.99 / $6,201.03	Professional		$2,455.90	$3,780.99	$6,201.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,465.56 / $1,465.56	Facility		$55.00	$1,465.56	$1,465.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,383.31 / $13,741.47 / $16,089.23	Professional		$7,383.31	$13,741.47	$16,089.23