Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $903.00 / $7,362.00	Facility		$411.75	$903.00	$7,362.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $430.01 / $772.67	Professional		$411.75	$430.01	$772.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.38 / $678.90 / $1,108.57	Professional		$449.38	$678.90	$1,108.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $2,710.28	Facility		$395.75	$395.75	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.38 / $575.32 / $1,042.32	Professional		$436.38	$575.32	$1,042.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $524.00 / $817.91	Facility		$411.75	$524.00	$817.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $514.00 / $554.00	Professional		$378.00	$514.00	$554.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $566.40 / $1,104.80	Professional		$4.00	$566.40	$1,104.80
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 $356.14 / $520.96 / $1,011.45	Professional		$356.14	$520.96	$1,011.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,999.35 / $8,957.00 / $12,000.00	Facility		$1,999.35	$8,957.00	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,097.04 / $3,097.04 / $3,686.85	Professional		$3,097.04	$3,097.04	$3,686.85