Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.65 / $3,259.50 / $7,278.00	Facility		$592.65	$3,259.50	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $367.18 / $658.16	Professional		$206.51	$367.18	$658.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $316.64 / $316.64	Professional		$316.64	$316.64	$316.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45,933.00 / $45,933.00 / $45,933.00	Facility		$45,933.00	$45,933.00	$45,933.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.66 / $704.98 / $1,015.07	Professional		$509.66	$704.98	$1,015.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $45,106.72	Facility		$530.04	$530.04	$45,106.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.78 / $601.15 / $925.38	Professional		$401.78	$601.15	$925.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $352.77 / $563.54 / $848.00	Facility		$352.77	$563.54	$848.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $97.15 / $150.80 / $169.60	Facility	80	$97.15	$150.80	$169.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $68.01 / $105.56 / $118.72	Facility	AS	$68.01	$105.56	$118.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $456.00 / $600.00	Professional		$435.00	$456.00	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $440.20 / $962.70	Professional		$5.00	$440.20	$962.70
United Facility/Professional Facility Modifier Low / Median / High Price $16,216.00 / $28,743.00 / $59,455.00	Facility		$16,216.00	$28,743.00	$59,455.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $496.62 / $873.10	Professional		$318.11	$496.62	$873.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $130,113.08 / $149,069.65	Facility		$1,897.74	$130,113.08	$149,069.65
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $76.34 / $8,494.89 / $14,129.69	Facility	AS	$76.34	$8,494.89	$14,129.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,700.13 / $13,506.61 / $13,506.61	Professional		$3,700.13	$13,506.61	$13,506.61