Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.33 / $1,410.00 / $12,615.00	Facility		$745.33	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.33 / $784.96 / $1,531.15	Professional		$745.33	$784.96	$1,531.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,920.34 / $1,920.34 / $1,948.36	Facility		$1,920.34	$1,920.34	$1,948.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.76 / $1,256.02 / $2,055.76	Professional		$855.76	$1,256.02	$2,055.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $5,006.99	Facility		$852.10	$852.10	$5,006.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.33 / $1,113.34 / $1,977.06	Professional		$784.33	$1,113.34	$1,977.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $953.91 / $1,684.45	Facility		$722.00	$953.91	$1,684.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,056.00 / $1,056.00	Professional		$815.00	$1,056.00	$1,056.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,001.30 / $2,177.50	Professional		$5.00	$1,001.30	$2,177.50
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 $649.66 / $929.07 / $2,012.98	Professional		$649.66	$929.07	$2,012.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,206.78 / $16,547.20 / $26,542.00	Facility		$4,206.78	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,506.44 / $5,506.44 / $6,428.18	Professional		$5,506.44	$5,506.44	$6,428.18