Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.54 / $1,245.00 / $7,439.00	Facility		$461.54	$1,245.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $461.54 / $763.48	Professional		$403.66	$461.54	$763.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.93 / $764.91 / $1,170.66	Professional		$387.93	$764.91	$1,170.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.60 / $687.69 / $1,174.27	Professional		$451.60	$687.69	$1,174.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $427.00 / $534.04 / $1,123.81	Facility		$427.00	$534.04	$1,123.81
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $640.50 / $782.72 / $1,685.72	Facility	50	$640.50	$782.72	$1,685.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $521.80 / $521.80 / $1,108.05	Professional		$521.80	$521.80	$1,108.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $471.00 / $1,252.90	Professional		$5.00	$471.00	$1,252.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.33 / $581.74 / $1,375.65	Professional		$413.33	$581.74	$1,375.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,565.71 / $7,909.30 / $16,394.00	Facility		$2,565.71	$7,909.30	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,360.96 / $3,360.96 / $3,929.10	Professional		$3,360.96	$3,360.96	$3,929.10