Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.06 / $1,410.00 / $12,615.00	Facility		$704.06	$1,410.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.21 / $740.99 / $1,316.53	Professional		$640.21	$740.99	$1,316.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.27 / $1,098.22 / $1,831.28	Professional		$802.27	$1,098.22	$1,831.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.21 / $991.27 / $1,755.30	Professional		$736.21	$991.27	$1,755.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $704.06 / $913.28 / $1,463.80	Facility		$704.06	$913.28	$1,463.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $777.27 / $893.00 / $936.00	Professional		$777.27	$893.00	$936.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $951.70 / $1,761.00	Professional		$6.00	$951.70	$1,761.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.22 / $933.82 / $1,742.72	Professional		$598.22	$933.82	$1,742.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,821.48 / $5,821.48	Facility		$55.00	$5,821.48	$5,821.48
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,234.72 / $5,234.72 / $6,237.98	Professional		$5,234.72	$5,234.72	$6,237.98