Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.99 / $1,615.00 / $7,439.00	Facility		$1,272.99	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.99 / $1,272.99 / $2,222.12	Professional		$1,272.99	$1,272.99	$2,222.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.38 / $2,911.93 / $3,631.08	Professional		$1,737.38	$2,911.93	$3,631.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.48 / $2,164.98 / $3,570.54	Professional		$1,505.48	$2,164.98	$3,570.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,272.99 / $1,804.24 / $3,124.06	Facility		$1,272.99	$1,804.24	$3,124.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,804.24 / $1,804.24 / $1,804.24	Professional		$1,804.24	$1,804.24	$1,804.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.10 / $1,414.10 / $1,414.10	Professional		$1,414.10	$1,414.10	$1,414.10
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 $1,303.48 / $1,921.64 / $3,527.33	Professional		$1,303.48	$1,921.64	$3,527.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,055.04 / $22,870.24	Facility		$55.00	$19,055.04	$22,870.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,574.00 / $10,574.00 / $10,979.93	Professional		$10,574.00	$10,574.00	$10,979.93