Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.60 / $1,410.00 / $12,615.00	Facility		$884.60	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.60 / $930.54 / $1,718.45	Professional		$884.60	$930.54	$1,718.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.50 / $3,185.50 / $3,231.98	Facility		$3,185.50	$3,185.50	$3,231.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.03 / $1,782.57 / $2,378.16	Professional		$1,040.03	$1,782.57	$2,378.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $8,607.85	Facility		$852.10	$852.10	$8,607.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.26 / $1,272.26 / $2,259.52	Professional		$993.26	$1,272.26	$2,259.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $884.60 / $1,100.48 / $1,809.56	Facility		$884.60	$1,100.48	$1,809.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,120.00 / $1,170.00	Professional		$815.00	$1,120.00	$1,170.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,188.00 / $2,377.40	Professional		$4.00	$1,188.00	$2,377.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.12 / $1,096.56 / $2,190.38	Professional		$774.12	$1,096.56	$2,190.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,239.25 / $26,542.00 / $28,447.40	Facility		$4,239.25	$26,542.00	$28,447.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,433.26 / $7,433.26 / $7,801.80	Professional		$7,433.26	$7,433.26	$7,801.80