Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.36 / $8,456.00 / $11,986.00	Facility		$1,404.36	$8,456.00	$11,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.68 / $1,294.27 / $3,050.35	Professional		$1,096.68	$1,294.27	$3,050.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,039.60 / $1,040.17 / $1,968.02	Professional		$1,039.60	$1,040.17	$1,968.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,404.37 / $1,924.31 / $3,593.40	Professional		$1,404.37	$1,924.31	$3,593.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.63 / $1,602.54 / $3,398.87	Professional		$1,066.63	$1,602.54	$3,398.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.68 / $1,638.43 / $1,965.39	Facility		$1,096.68	$1,638.43	$1,965.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $229.38 / $327.69 / $361.42	Facility	80	$229.38	$327.69	$361.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $160.57 / $229.38 / $252.99	Facility	AS	$160.57	$229.38	$252.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,426.00 / $1,807.09	Professional		$1,426.00	$1,426.00	$1,807.09
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 $1,056.58 / $1,420.16 / $3,035.06	Professional		$1,056.58	$1,420.16	$3,035.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,150.00 / $11,879.05	Facility		$2,150.00	$2,150.00	$11,879.05
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $261.70 / $294.04 / $1,125.97	Facility	AS	$261.70	$294.04	$1,125.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,185.05 / $11,185.05 / $11,185.05	Professional		$11,185.05	$11,185.05	$11,185.05