Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $2,735.95 / $7,366.14	Facility		$170.00	$2,735.95	$7,366.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $2,735.95 / $4,405.33	Professional		$157.83	$2,735.95	$4,405.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,021.77 / $4,021.77 / $4,021.77	Professional		$4,021.77	$4,021.77	$4,021.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.37 / $4,013.00 / $7,908.48	Professional		$261.37	$4,013.00	$7,908.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $3,617.84 / $6,572.40	Professional		$220.67	$3,617.84	$6,572.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $2,735.95 / $4,651.12	Facility		$170.00	$2,735.95	$4,651.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,663.90 / $3,663.90 / $7,707.14	Professional		$3,663.90	$3,663.90	$7,707.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,893.50	Professional		$5.00	$5.00	$7,893.50
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 $3,175.05 / $4,480.27 / $8,660.00	Professional		$3,175.05	$4,480.27	$8,660.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,185.35 / $1,185.35	Facility		$55.00	$1,185.35	$1,185.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,256.24 / $3,276.49 / $21,649.50	Professional		$1,256.24	$3,276.49	$21,649.50