Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.88 / $4,376.00 / $7,439.00	Facility		$366.88	$4,376.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.66 / $366.88 / $419.21	Professional		$289.66	$366.88	$419.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.03 / $899.83 / $1,526.98	Facility		$818.03	$899.83	$1,526.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $676.99 / $1,044.06	Professional		$100.00	$676.99	$1,044.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $887.89 / $1,675.01	Facility		$440.62	$887.89	$1,675.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.48 / $1,833.48 / $1,833.48	Professional		$1,833.48	$1,833.48	$1,833.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $349.97 / $365.79 / $495.29	Facility		$349.97	$365.79	$495.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $365.79 / $498.00 / $535.00	Professional		$365.79	$498.00	$535.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.53 / $483.14 / $966.32	Professional		$355.53	$483.14	$966.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,014.80 / $4,901.45 / $4,901.45	Facility		$2,014.80	$4,901.45	$4,901.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,584.16 / $2,584.16 / $3,336.38	Professional		$2,584.16	$2,584.16	$3,336.38