Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,318.26	Facility		$489.78	$489.78	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $588.84	Professional		$407.38	$489.78	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,949.84	Facility		$1,348.96	$1,348.96	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,412.54	Professional		$512.86	$602.56	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $1,584.89	Facility		$457.09	$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 $398.11 / $512.86 / $741.31	Facility		$398.11	$512.86	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,023.29	Professional		$933.25	$933.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $724.44 / $741.31	Facility		$363.08	$724.44	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $676.08	Professional		$257.04	$363.08	$676.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,570.88	Professional		$3,019.95	$3,019.95	$4,570.88