Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.69 / $8,191.25 / $14,528.00	Facility		$1,144.69	$8,191.25	$14,528.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $848.19 / $848.19 / $1,386.38	Facility	54	$848.19	$848.19	$1,386.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,130.92 / $1,951.12	Professional		$992.21	$1,130.92	$1,951.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,078.46 / $1,078.46 / $2,022.00	Professional		$1,078.46	$1,078.46	$2,022.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,079.18 / $1,656.84 / $3,574.96	Professional		$1,079.18	$1,656.84	$3,574.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.92 / $1,439.20 / $2,954.69	Professional		$1,049.92	$1,439.20	$2,954.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,130.92 / $1,335.47 / $1,809.47	Facility		$1,130.92	$1,335.47	$1,809.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $219.80 / $267.08 / $298.82	Facility	80	$219.80	$267.08	$298.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.46 / $1,465.00 / $1,465.00	Professional		$1,380.46	$1,465.00	$1,465.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.19 / $1,267.18 / $2,847.97	Professional		$956.19	$1,267.18	$2,847.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,750.00 / $4,750.00 / $11,879.05	Facility		$4,750.00	$4,750.00	$11,879.05
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,901.24 / $2,136.04 / $7,881.75	Facility	54	$1,901.24	$2,136.04	$7,881.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,555.36 / $9,656.48 / $9,656.48	Professional		$8,555.36	$9,656.48	$9,656.48