Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.53 / $2,675.00 / $10,403.41	Facility		$135.53	$2,675.00	$10,403.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $135.53 / $223.65	Professional		$135.53	$135.53	$223.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.82 / $252.32 / $394.75	Professional		$155.82	$252.32	$394.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.61 / $236.71 / $382.94	Professional		$177.61	$236.71	$382.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.53 / $199.12 / $427.00	Facility		$135.53	$199.12	$427.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $199.12 / $199.12	Professional		$199.12	$199.12	$199.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Professional		$253.20	$253.20	$253.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $14,893.00 / $22,265.00	Facility		$6,688.00	$14,893.00	$22,265.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $207.90 / $374.60	Professional		$138.43	$207.90	$374.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $889.21 / $24,830.35 / $26,542.00	Facility		$889.21	$24,830.35	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,698.99 / $1,698.99 / $1,698.99	Professional		$1,698.99	$1,698.99	$1,698.99