Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.74 / $1,615.00 / $7,439.00	Facility		$1,288.74	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.74 / $1,288.74 / $2,253.90	Professional		$1,288.74	$1,288.74	$2,253.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.52 / $2,357.28 / $3,633.15	Professional		$1,419.52	$2,357.28	$3,633.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.79 / $2,155.69 / $3,931.95	Professional		$1,371.79	$2,155.69	$3,931.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,288.74 / $1,850.27 / $3,029.10	Facility		$1,288.74	$1,850.27	$3,029.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,850.27 / $1,850.27 / $1,850.27	Professional		$1,850.27	$1,850.27	$1,850.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,592.60 / $1,592.60 / $1,592.60	Professional		$1,592.60	$1,592.60	$1,592.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.02 / $1,928.86 / $3,572.09	Professional		$1,320.02	$1,928.86	$3,572.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,339.92 / $15,989.93	Facility		$55.00	$13,339.92	$15,989.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,420.00 / $11,420.00 / $11,420.00	Professional		$11,420.00	$11,420.00	$11,420.00