Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.39 / $2,993.45 / $6,919.00	Facility		$955.39	$2,993.45	$6,919.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $955.40 / $2,425.46	Professional		$86.38	$955.40	$2,425.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $157.49 / $178.76	Professional		$123.54	$157.49	$178.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.09 / $1,643.92 / $3,633.13	Professional		$153.09	$1,643.92	$3,633.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $606.10	Facility		$150.18	$150.18	$606.10
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $406.90 / $2,775.75	Professional		$114.53	$406.90	$2,775.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $1,003.17 / $1,859.37	Facility		$86.38	$1,003.17	$1,859.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $31.68 / $371.87 / $449.04	Facility	80	$31.68	$371.87	$449.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,225.00 / $1,725.00 / $2,949.01	Professional		$1,225.00	$1,725.00	$2,949.01
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,789.06 / $2,789.06 / $5,273.81	Professional	50	$2,789.06	$2,789.06	$5,273.81
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $371.87 / $371.87 / $703.17	Professional	80	$371.87	$371.87	$703.17
Medcost Facility/Professional Professional Modifier AS Low / Median / High Price $260.31 / $260.31 / $492.22	Professional	AS	$260.31	$260.31	$492.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $333.70 / $1,753.50	Professional		$156.19	$333.70	$1,753.50
United Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $830.00 / $2,074.00	Facility		$105.00	$830.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.56 / $1,842.42 / $3,029.63	Professional		$1,119.56	$1,842.42	$3,029.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,494.91 / $1,494.91	Facility		$55.00	$1,494.91	$1,494.91
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $255.55 / $255.55 / $255.55	Facility	62	$255.55	$255.55	$255.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,337.04 / $6,712.53 / $7,523.03	Professional		$3,337.04	$6,712.53	$7,523.03