Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,311.31 / $7,413.10	Facility		$169.82	$3,311.31	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $2,344.23 / $6,165.95	Professional		$158.49	$2,344.23	$6,165.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $3,467.37 / $7,943.28	Professional		$218.78	$3,467.37	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $2,511.89 / $5,888.44	Professional		$218.78	$2,511.89	$5,888.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $575.44 / $3,981.07	Facility		$169.82	$575.44	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7,943.28	Professional		$5.01	$5.01	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,302.69 / $19,054.61	Facility		$4,466.84	$12,302.69	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $2,398.83 / $6,165.95	Professional		$177.83	$2,398.83	$6,165.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $23,988.33 / $23,988.33	Facility		$56.23	$23,988.33	$23,988.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $21,877.62 / $21,877.62	Professional		$18,620.87	$21,877.62	$21,877.62