Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,890.45 / $11,481.54	Facility		$1,412.54	$3,890.45	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,570.40	Professional		$912.01	$1,047.13	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,818.38	Professional		$1,122.02	$1,445.44	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,570.40	Professional		$1,000.00	$1,412.54	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,290.87	Professional		$1,659.59	$1,659.59	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,089.30	Facility		$977.24	$1,318.26	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,187.76	Professional		$1,380.38	$1,737.80	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $11,748.98 / $18,620.87	Facility		$4,466.84	$11,748.98	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,137.96	Professional		$851.14	$1,122.02	$2,137.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $42,657.95	Facility		$16,595.87	$16,595.87	$42,657.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18