Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.84 / $1,615.00 / $7,439.00	Facility		$1,074.84	$1,615.00	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.84 / $1,074.84 / $1,853.99	Professional		$1,074.84	$1,074.84	$1,853.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.40 / $1,925.00 / $3,036.67	Professional		$1,335.40	$1,925.00	$3,036.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.27 / $1,662.15 / $2,982.53	Professional		$1,165.27	$1,662.15	$2,982.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,074.84 / $1,428.28 / $2,645.07	Facility		$1,074.84	$1,428.28	$2,645.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,428.28 / $1,428.28 / $1,428.28	Professional		$1,428.28	$1,428.28	$1,428.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.30 / $1,548.30 / $1,548.30	Professional		$1,548.30	$1,548.30	$1,548.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,906.00 / $6,388.00	Facility		$1,064.00	$3,906.00	$6,388.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.17 / $1,505.14 / $2,965.60	Professional		$1,068.17	$1,505.14	$2,965.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,886.56 / $20,423.20	Facility		$55.00	$16,886.56	$20,423.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,007.12 / $8,007.12 / $9,745.58	Professional		$8,007.12	$8,007.12	$9,745.58