Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.90 / $903.00 / $7,362.00	Facility		$351.90	$903.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.81 / $365.41 / $746.02	Professional		$316.81	$365.41	$746.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $381.60 / $381.60	Professional		$381.60	$381.60	$381.60
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 $366.39 / $515.96 / $953.34	Professional		$366.39	$515.96	$953.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,587.44	Facility		$395.75	$395.75	$1,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.30 / $493.82 / $899.99	Professional		$356.30	$493.82	$899.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $351.90 / $418.52 / $711.53	Facility		$351.90	$418.52	$711.53
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $78.00 / $83.70 / $166.10	Facility	80	$78.00	$83.70	$166.10
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $54.60 / $58.59 / $116.27	Facility	AS	$54.60	$58.59	$116.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $452.00 / $483.00	Professional		$378.00	$452.00	$483.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.97 / $528.23 / $583.38	Professional		$343.97	$528.23	$583.38
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 $299.67 / $410.88 / $871.92	Professional		$299.67	$410.88	$871.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,751.45 / $5,246.20 / $12,000.00	Facility		$1,751.45	$5,246.20	$12,000.00
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $530.13 / $1,868.50 / $3,107.91	Facility	62	$530.13	$1,868.50	$3,107.91
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $84.82 / $298.95 / $497.27	Facility	AS	$84.82	$298.95	$497.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,131.06 / $4,131.06 / $4,131.06	Professional		$4,131.06	$4,131.06	$4,131.06