Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.44 / $1,635.00 / $10,453.00	Facility		$787.44	$1,635.00	$10,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $796.65 / $1,473.60	Professional		$705.15	$796.65	$1,473.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,326.84 / $1,326.84 / $1,326.84	Professional		$1,326.84	$1,326.84	$1,326.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.66 / $1,267.26 / $1,940.35	Professional		$821.66	$1,267.26	$1,940.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $518.28 / $35,600.00	Facility		$0.71	$518.28	$35,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.16 / $1,139.13 / $2,031.06	Professional		$774.16	$1,139.13	$2,031.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $787.44 / $944.10 / $1,395.13	Facility		$787.44	$944.10	$1,395.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $738.53 / $993.00 / $2,070.96	Professional		$738.53	$993.00	$2,070.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $778.83 / $1,199.08 / $1,531.10	Professional		$778.83	$1,199.08	$1,531.10
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,557.00 / $11,999.00	Facility		$902.00	$1,557.00	$11,999.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.82 / $924.25 / $1,947.43	Professional		$669.82	$924.25	$1,947.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,240.41 / $13,486.75	Facility		$55.00	$5,240.41	$13,486.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,927.75 / $7,231.97 / $7,231.97	Professional		$6,927.75	$7,231.97	$7,231.97