Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.26 / $1,921.90 / $10,561.00	Facility		$1,271.26	$1,921.90	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.26 / $1,337.38 / $2,366.96	Professional		$1,271.26	$1,337.38	$2,366.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,221.47 / $3,221.47 / $4,603.08	Facility		$3,221.47	$3,221.47	$4,603.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.42 / $2,472.33 / $3,364.42	Professional		$1,398.42	$2,472.33	$3,364.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $16,040.39	Facility		$748.70	$748.70	$16,040.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.06 / $1,775.00 / $3,155.89	Professional		$1,346.06	$1,775.00	$3,155.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,271.26 / $1,611.00 / $2,523.92	Facility		$1,271.26	$1,611.00	$2,523.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,585.00 / $1,672.00	Professional		$716.00	$1,585.00	$1,672.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,896.50 / $3,297.10	Professional		$3.00	$1,896.50	$3,297.10
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 $1,074.58 / $1,499.59 / $3,120.58	Professional		$1,074.58	$1,499.59	$3,120.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,843.24 / $46,269.48 / $53,010.65	Facility		$4,843.24	$46,269.48	$53,010.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,355.04 / $9,355.04 / $11,145.83	Professional		$9,355.04	$9,355.04	$11,145.83