Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,412.54 / $1,513.56	Facility		$363.08	$1,412.54	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $446.68	Professional		$302.00	$363.08	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,412.54	Facility		$870.96	$1,348.96	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $724.44	Professional		$204.17	$380.19	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $707.95 / $1,174.90	Facility		$309.03	$707.95	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $630.96	Facility		$323.59	$407.38	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $758.58	Professional		$691.83	$691.83	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $549.54	Facility		$269.15	$537.03	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $501.19	Professional		$190.55	$269.15	$501.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,388.44	Professional		$2,238.72	$2,238.72	$3,388.44