Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.80 / $13,652.76 / $55,054.20	Facility		$1,602.80	$13,652.76	$55,054.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $217.45 / $217.45 / $361.74	Facility	53	$217.45	$217.45	$361.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.82 / $1,087.27 / $2,674.68	Professional		$838.82	$1,087.27	$2,674.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,406.14 / $1,525.30 / $2,168.19	Professional		$1,406.14	$1,525.30	$2,168.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.73 / $2,247.55 / $3,080.58	Professional		$1,411.73	$2,247.55	$3,080.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43,000.00 / $43,000.00 / $43,000.00	Facility		$43,000.00	$43,000.00	$43,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.07 / $1,651.32 / $2,892.84	Professional		$1,227.07	$1,651.32	$2,892.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $924.18 / $1,240.08 / $2,063.80	Facility		$924.18	$1,240.08	$2,063.80
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $248.02 / $248.02 / $394.70	Facility	80	$248.02	$248.02	$394.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,240.08 / $1,240.08 / $1,240.08	Professional		$1,240.08	$1,240.08	$1,240.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.50 / $1,349.50 / $1,349.50	Professional		$1,349.50	$1,349.50	$1,349.50
United Facility/Professional Facility Modifier Low / Median / High Price $12,077.00 / $26,232.00 / $45,099.00	Facility		$12,077.00	$26,232.00	$45,099.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.25 / $1,731.04 / $2,750.33	Professional		$1,092.25	$1,731.04	$2,750.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $9,427.54 / $9,427.54 / $26,727.00	Facility		$9,427.54	$9,427.54	$26,727.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $407.91 / $407.91 / $5,345.40	Facility	53	$407.91	$407.91	$5,345.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,806.64 / $7,877.55 / $7,877.55	Professional		$6,806.64	$7,877.55	$7,877.55