Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,737.80	Facility		$630.96	$630.96	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $758.58	Professional		$524.81	$630.96	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,511.89	Facility		$1,318.26	$1,737.80	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,819.70	Professional		$676.08	$794.33	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $2,089.30	Facility		$602.56	$1,258.93	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,071.52	Facility		$512.86	$691.83	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Professional		$1,202.26	$1,202.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $954.99	Facility		$467.74	$933.25	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $870.96	Professional		$331.13	$467.74	$870.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,888.44	Professional		$3,890.45	$3,890.45	$5,888.44