Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.11 / $903.00 / $5,449.00	Facility		$253.11	$903.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.11 / $362.30 / $674.75	Professional		$253.11	$362.30	$674.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $373.33	Facility		$367.96	$367.96	$373.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.25 / $614.27 / $1,848.00	Professional		$339.25	$614.27	$1,848.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.36 / $421.36 / $606.10	Facility		$421.36	$421.36	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $468.01 / $857.71	Professional		$308.39	$468.01	$857.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $253.11 / $416.65 / $664.59	Facility		$253.11	$416.65	$664.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $461.47 / $501.00 / $501.00	Professional		$461.47	$501.00	$501.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $497.70 / $1,076.40	Professional		$5.00	$497.70	$1,076.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.63 / $446.40 / $896.08	Professional		$321.63	$446.40	$896.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,823.52 / $1,823.52	Facility		$55.00	$1,823.52	$1,823.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,930.64 / $2,720.40 / $3,154.58	Professional		$1,930.64	$2,720.40	$3,154.58