Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.67 / $4,120.60 / $8,002.00	Facility		$1,080.67	$4,120.60	$8,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.63 / $859.37 / $1,706.77	Professional		$776.63	$859.37	$1,706.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,534.65 / $1,534.65 / $1,534.65	Professional		$1,534.65	$1,534.65	$1,534.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.10 / $1,359.14 / $2,719.16	Professional		$906.10	$1,359.14	$2,719.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.27 / $1,096.09 / $2,654.20	Professional		$834.27	$1,096.09	$2,654.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $859.37 / $1,050.80 / $2,512.26	Facility		$859.37	$1,050.80	$2,512.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $166.69 / $228.08 / $606.00	Facility	80	$166.69	$228.08	$606.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $116.69 / $145.60 / $370.16	Facility	AS	$116.69	$145.60	$370.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,114.00 / $1,140.40	Professional		$1,114.00	$1,114.00	$1,140.40
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 $747.05 / $962.91 / $2,163.19	Professional		$747.05	$962.91	$2,163.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,663.70 / $11,879.05 / $26,542.00	Facility		$5,663.70	$11,879.05	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $205.59 / $230.98 / $1,125.97	Facility	AS	$205.59	$230.98	$1,125.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,588.48 / $7,588.48 / $7,588.48	Professional		$7,588.48	$7,588.48	$7,588.48