Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.40 / $628.53 / $6,070.16	Facility		$416.40	$628.53	$6,070.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.72 / $458.15 / $800.52	Professional		$409.72	$458.15	$800.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.74 / $659.97 / $1,155.08	Professional		$434.74	$659.97	$1,155.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $1,438.74	Facility		$395.75	$395.75	$1,438.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.34 / $594.20 / $1,080.29	Professional		$416.34	$594.20	$1,080.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.40 / $539.35 / $848.70	Facility		$416.40	$539.35	$848.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $519.00 / $625.00	Professional		$378.00	$519.00	$625.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $615.98 / $679.59 / $875.61	Professional		$615.98	$679.59	$875.61
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.68 / $524.80 / $1,106.92	Professional		$381.68	$524.80	$1,106.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,014.48 / $2,263.14 / $12,000.00	Facility		$2,014.48	$2,263.14	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,164.72 / $3,489.20 / $4,151.33	Professional		$3,164.72	$3,489.20	$4,151.33