Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.89 / $1,245.00 / $7,278.00	Facility		$647.89	$1,245.00	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.20 / $647.89 / $1,015.83	Professional		$634.20	$647.89	$1,015.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.15 / $1,091.88 / $1,645.69	Professional		$747.15	$1,091.88	$1,645.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.37 / $987.31 / $1,650.20	Professional		$675.37	$987.31	$1,650.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $647.89 / $777.47 / $1,586.66	Facility		$647.89	$777.47	$1,586.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $752.04 / $752.04 / $1,563.60	Professional		$752.04	$752.04	$1,563.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $931.95 / $1,358.60	Professional		$5.00	$931.95	$1,358.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.37 / $794.30 / $1,780.87	Professional		$585.37	$794.30	$1,780.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,586.56 / $16,394.00 / $16,547.20	Facility		$3,586.56	$16,394.00	$16,547.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,623.00 / $7,623.00 / $7,623.00	Professional		$7,623.00	$7,623.00	$7,623.00