Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $4,488.50 / $10,690.00	Facility		$204.15	$4,488.50	$10,690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.77 / $301.61 / $1,075.05	Professional		$191.77	$301.61	$1,075.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.84 / $262.64 / $569.46	Professional		$229.84	$262.64	$569.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.45 / $408.28 / $504.91	Professional		$251.45	$408.28	$504.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $13,652.00	Facility		$606.10	$606.10	$13,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.37 / $304.19 / $539.35	Professional		$238.37	$304.19	$539.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $299.00 / $494.00	Facility		$204.15	$299.00	$494.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $53.08 / $82.60 / $108.71	Facility	80	$53.08	$82.60	$108.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $37.15 / $57.82 / $76.09	Facility	AS	$37.15	$57.82	$76.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $266.00 / $266.00	Professional		$264.00	$266.00	$266.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $287.89 / $361.21	Professional		$171.59	$287.89	$361.21
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $287.41 / $546.54	Professional		$187.95	$287.41	$546.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,752.26 / $4,634.70 / $5,897.00	Facility		$2,752.26	$4,634.70	$5,897.00
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $180.29 / $314.61 / $621.89	Facility	62	$180.29	$314.61	$621.89
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $28.85 / $50.34 / $99.50	Facility	AS	$28.85	$50.34	$99.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,668.75 / $3,668.75 / $3,668.75	Professional		$3,668.75	$3,668.75	$3,668.75