Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,511.38 / $14,454.40	Facility		$1,621.81	$8,511.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,570.40	Professional		$1,000.00	$1,288.25	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,778.28	Professional		$1,047.13	$1,288.25	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,235.94	Professional		$1,096.48	$1,621.81	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $3,090.30	Professional		$1,000.00	$1,479.11	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,691.53	Facility		$1,000.00	$1,348.96	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,691.53	Professional		$954.99	$1,288.25	$2,691.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $33,884.42	Facility		$11,748.98	$11,748.98	$33,884.42
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	AS	$1,174.90	$1,174.90	$1,174.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51