Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,265.80 / $7,585.78	Facility		$316.23	$4,265.80	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $954.99	Professional		$281.84	$363.08	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $851.14	Professional		$295.12	$436.52	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $794.33	Professional		$331.13	$457.09	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $691.83	Facility		$316.23	$426.58	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $645.65	Professional		$467.74	$512.86	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,918.31 / $10,471.29	Facility		$1,659.59	$6,918.31	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $630.96	Professional		$269.15	$363.08	$630.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $19,498.45	Facility		$5,248.07	$5,248.07	$19,498.45
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94