Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.81 / $1,072.81 / $2,177.25	Facility		$1,072.81	$1,072.81	$2,177.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.80 / $1,072.81 / $1,072.81	Professional		$644.80	$1,072.81	$1,072.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,081.04 / $1,297.25 / $1,297.25	Professional		$1,081.04	$1,297.25	$1,297.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.63 / $1,386.76 / $2,633.12	Facility		$1,155.63	$1,386.76	$2,633.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.50 / $1,081.04 / $1,189.14	Professional		$1,003.50	$1,081.04	$1,189.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.61 / $1,200.11 / $1,200.11	Facility		$891.61	$1,200.11	$1,200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,200.11 / $1,990.13	Professional		$876.09	$1,200.11	$1,990.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $464.23 / $1,072.81 / $1,707.67	Facility		$464.23	$1,072.81	$1,707.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $810.00 / $1,012.00	Professional		$810.00	$810.00	$1,012.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.70 / $1,729.70 / $2,659.40	Professional		$1,729.70	$1,729.70	$2,659.40
United Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $722.14 / $1,128.14	Professional		$599.25	$722.14	$1,128.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,884.11 / $7,687.40 / $7,687.40	Facility		$2,884.11	$7,687.40	$7,687.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,570.81 / $9,570.81 / $10,810.43	Professional		$9,570.81	$9,570.81	$10,810.43