Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.56 / $4,922.05 / $7,593.00	Facility		$509.56	$4,922.05	$7,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $522.01 / $1,172.63	Professional		$447.56	$522.01	$1,172.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $521.69 / $854.19 / $854.19	Professional		$521.69	$854.19	$854.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $729.29 / $1,326.61	Professional		$523.54	$729.29	$1,326.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $1,587.44	Facility		$530.04	$530.04	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.67 / $693.90 / $1,223.36	Professional		$509.67	$693.90	$1,223.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $490.94 / $652.67 / $1,045.00	Facility		$490.94	$652.67	$1,045.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $117.46 / $148.40 / $231.72	Facility	80	$117.46	$148.40	$231.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.22 / $103.88 / $162.21	Facility	AS	$82.22	$103.88	$162.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $620.00 / $662.00	Professional		$507.00	$620.00	$662.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.69 / $706.58 / $802.95	Professional		$438.69	$706.58	$802.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.29 / $606.16 / $1,219.92	Professional		$421.29	$606.16	$1,219.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,897.68 / $5,246.20 / $16,394.00	Facility		$1,897.68	$5,246.20	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $118.06 / $298.95 / $497.27	Facility	AS	$118.06	$298.95	$497.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,389.20 / $5,389.20 / $5,389.20	Professional		$5,389.20	$5,389.20	$5,389.20