Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.32 / $1,615.00 / $11,222.97	Facility		$614.32	$1,615.00	$11,222.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.32 / $647.26 / $1,203.95	Professional		$614.32	$647.26	$1,203.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,015.30 / $2,015.30 / $2,044.70	Facility		$2,015.30	$2,015.30	$2,044.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.23 / $1,217.63 / $1,653.68	Professional		$713.23	$1,217.63	$1,653.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.40 / $872.54 / $1,562.81	Professional		$680.40	$872.54	$1,562.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $614.32 / $817.00 / $1,239.58	Facility		$614.32	$817.00	$1,239.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $771.00 / $820.00	Professional		$716.00	$771.00	$820.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $960.90 / $1,652.50	Professional		$5.00	$960.90	$1,652.50
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 $539.13 / $748.31 / $1,642.90	Professional		$539.13	$748.31	$1,642.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,560.76 / $19,913.50 / $26,542.00	Facility		$3,560.76	$19,913.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,586.32 / $4,586.32 / $5,467.88	Professional		$4,586.32	$4,586.32	$5,467.88