Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.62 / $1,080.15 / $2,176.46	Facility		$850.62	$1,080.15	$2,176.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $1,080.15 / $1,147.66	Professional		$810.11	$1,080.15	$1,147.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $843.87 / $843.87	Professional		$810.11	$843.87	$843.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,287.27 / $2,816.83 / $3,270.53	Facility		$2,287.27	$2,816.83	$3,270.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $1,147.66 / $2,430.34	Professional		$607.59	$1,147.66	$2,430.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.94 / $2,506.21 / $3,544.28	Facility		$1,025.94	$2,506.21	$3,544.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.54 / $1,002.49 / $1,967.42	Professional		$626.54	$1,002.49	$1,967.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,215.17 / $1,552.72	Facility		$810.11	$1,215.17	$1,552.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $1,350.19 / $1,350.19	Professional		$640.00	$1,350.19	$1,350.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $877.62 / $1,350.19 / $2,585.61	Professional		$877.62	$1,350.19	$2,585.61
United Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $729.10 / $1,350.19	Professional		$607.59	$729.10	$1,350.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,349.33 / $6,413.40 / $6,413.40	Facility		$2,349.33	$6,413.40	$6,413.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,750.95 / $6,750.95 / $10,126.43	Professional		$6,750.95	$6,750.95	$10,126.43