Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,445.44	Facility		$524.81	$524.81	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $660.69	Professional		$436.52	$524.81	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,089.30	Facility		$1,479.11	$1,479.11	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,513.56	Professional		$562.34	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,047.13 / $1,412.54	Facility		$426.58	$1,047.13	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $794.33	Facility		$501.19	$575.44	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,122.02	Professional		$1,023.29	$1,023.29	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $812.83	Facility		$398.11	$776.25	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $724.44	Professional		$275.42	$398.11	$724.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,011.87	Professional		$3,311.31	$3,311.31	$5,011.87