Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.84 / $4,178.42 / $10,382.95	Facility		$678.84	$4,178.42	$10,382.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $742.04 / $1,729.71	Professional		$488.01	$742.04	$1,729.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.32 / $1,135.83 / $1,834.30	Professional		$702.32	$1,135.83	$1,834.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.60 / $962.45 / $1,802.67	Professional		$654.60	$962.45	$1,802.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $515.66 / $948.79 / $1,316.54	Facility		$515.66	$948.79	$1,316.54
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $172.29 / $240.55 / $309.85	Facility	80	$172.29	$240.55	$309.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.60 / $165.41 / $215.25	Facility	AS	$120.60	$165.41	$215.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $1,147.00 / $1,147.00	Professional		$579.00	$1,147.00	$1,147.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $628.73 / $1,041.48 / $1,399.60	Professional		$628.73	$1,041.48	$1,399.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.36 / $992.07 / $2,108.79	Professional		$701.36	$992.07	$2,108.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,395.12 / $2,628.22 / $26,542.00	Facility		$2,395.12	$2,628.22	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $135.87 / $262.82 / $262.82	Facility	AS	$135.87	$262.82	$262.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,785.00 / $6,354.40 / $7,334.10	Professional		$4,785.00	$6,354.40	$7,334.10