Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $1,615.00 / $12,615.00	Facility		$304.20	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $304.20 / $532.36	Professional		$304.20	$304.20	$532.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $560.96 / $909.52	Professional		$236.20	$560.96	$909.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $524.04 / $824.62	Professional		$369.00	$524.04	$824.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $416.00 / $772.31	Facility		$304.20	$416.00	$772.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $408.87 / $770.17	Professional		$408.87	$408.87	$770.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $559.10 / $775.30	Professional		$6.00	$559.10	$775.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $426.24 / $915.75	Professional		$307.69	$426.24	$915.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,005.64 / $13,759.35 / $26,542.00	Facility		$2,005.64	$13,759.35	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,821.73 / $2,821.73 / $2,821.73	Professional		$2,821.73	$2,821.73	$2,821.73