Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $977.24	Professional		$478.63	$691.83	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,187.76	Facility		$912.01	$1,096.48	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $851.14 / $933.25	Professional		$831.76	$851.14	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $776.25	Facility		$489.78	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $831.76	Professional		$562.34	$562.34	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $891.25	Professional		$489.78	$524.81	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,659.59	Facility		$457.09	$1,000.00	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $891.25	Facility		$354.81	$524.81	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $794.33	Professional		$426.58	$549.54	$794.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $7,762.47	Professional		$6,606.93	$6,606.93	$7,762.47