Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.28 / $4,631.38 / $8,224.37	Facility		$817.28	$4,631.38	$8,224.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $632.52 / $1,386.22	Professional		$505.12	$632.52	$1,386.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $570.16 / $927.60 / $1,011.06	Professional		$570.16	$927.60	$1,011.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $1,457.61 / $1,478.88	Facility		$1,457.61	$1,457.61	$1,478.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $884.69 / $1,571.09	Professional		$609.54	$884.69	$1,571.09
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 $574.77 / $810.53 / $1,453.16	Professional		$574.77	$810.53	$1,453.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $586.22 / $769.40 / $1,134.00	Facility		$586.22	$769.40	$1,134.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,048.95 / $1,243.50 / $2,075.21	Facility	50	$1,048.95	$1,243.50	$2,075.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $97.44 / $116.06 / $193.69	Facility	AS	$97.44	$116.06	$193.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $735.00 / $790.00	Professional		$507.00	$735.00	$790.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,376.16 / $2,376.16 / $2,376.16	Facility		$2,376.16	$2,376.16	$2,376.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.42 / $855.69 / $950.61	Professional		$538.42	$855.69	$950.61
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 $501.84 / $711.37 / $1,439.25	Professional		$501.84	$711.37	$1,439.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,281.32 / $5,246.20 / $16,394.00	Facility		$2,281.32	$5,246.20	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $139.63 / $298.95 / $497.27	Facility	AS	$139.63	$298.95	$497.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,838.31 / $5,838.31 / $5,838.31	Professional		$5,838.31	$5,838.31	$5,838.31