Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.57 / $689.00 / $5,449.00	Facility		$388.57	$689.00	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.57 / $600.21 / $1,026.82	Professional		$388.57	$600.21	$1,026.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.70 / $680.12 / $1,381.78	Professional		$428.70	$680.12	$1,381.78
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 $401.65 / $618.75 / $1,168.92	Professional		$401.65	$618.75	$1,168.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $388.57 / $600.21 / $917.03	Facility		$388.57	$600.21	$917.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $617.00 / $791.00	Professional		$378.00	$617.00	$791.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $819.20 / $1,273.00	Professional		$3.00	$819.20	$1,273.00
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 $431.87 / $644.75 / $1,442.84	Professional		$431.87	$644.75	$1,442.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,864.56 / $2,081.17 / $12,000.00	Facility		$1,864.56	$2,081.17	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,931.04 / $4,412.64 / $5,245.73	Professional		$2,931.04	$4,412.64	$5,245.73