Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.94 / $1,704.53 / $10,453.00	Facility		$806.94	$1,704.53	$10,453.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $605.21 / $605.21 / $883.96	Facility	54	$605.21	$605.21	$883.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $806.94 / $1,337.84	Professional		$656.25	$806.94	$1,337.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $825.68 / $825.68 / $825.68	Professional		$825.68	$825.68	$825.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.87 / $942.71 / $2,287.75	Professional		$721.87	$942.71	$2,287.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.41 / $976.35 / $1,882.90	Professional		$674.41	$976.35	$1,882.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $793.34 / $878.00 / $1,291.09	Facility		$793.34	$878.00	$1,291.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $886.91 / $938.00 / $938.00	Professional		$886.91	$938.00	$938.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.48 / $810.00 / $2,022.91	Professional		$602.48	$810.00	$2,022.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,737.80 / $6,887.55 / $26,542.00	Facility		$3,737.80	$6,887.55	$26,542.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,331.47 / $1,495.91 / $4,569.92	Facility	54	$1,331.47	$1,495.91	$4,569.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,956.48 / $5,956.48 / $6,805.28	Professional		$5,956.48	$5,956.48	$6,805.28