Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,905.46 / $1,995.26	Facility		$478.63	$1,905.46	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $467.74 / $575.44	Professional		$208.93	$467.74	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,380.38	Facility		$660.69	$912.01	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $758.58	Professional		$257.04	$269.15	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $1,584.89	Facility		$389.05	$954.99	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $524.81 / $831.76	Facility		$218.78	$524.81	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $602.56	Professional		$389.05	$602.56	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,023.29	Professional		$912.01	$912.01	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $354.81 / $602.56	Facility		$181.97	$354.81	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $457.09	Professional		$151.36	$181.97	$457.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,466.84	Professional		$3,019.95	$3,019.95	$4,466.84