Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $8,709.64	Facility		$1,288.25	$2,630.27	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,630.27	Professional		$912.01	$1,122.02	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,365.16	Facility		$3,090.30	$3,090.30	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,630.27	Professional		$1,096.48	$1,348.96	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,454.71	Professional		$1,023.29	$1,412.54	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,454.71	Professional		$1,659.59	$1,659.59	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,995.26	Facility		$1,047.13	$1,348.96	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,137.96	Professional		$1,513.56	$1,778.28	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,748.98 / $18,620.87	Facility		$5,011.87	$11,748.98	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,089.30	Professional		$851.14	$1,096.48	$2,089.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $9,120.11	Professional		$7,762.47	$7,762.47	$9,120.11