Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.98 / $1,849.00 / $10,690.00	Facility		$887.98	$1,849.00	$10,690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.14 / $952.70 / $1,790.88	Professional		$879.14	$952.70	$1,790.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,725.95 / $2,998.55 / $5,088.43	Facility		$2,725.95	$2,998.55	$5,088.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.91 / $1,775.80 / $2,265.58	Professional		$1,002.91	$1,775.80	$2,265.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $3,394.57 / $5,654.79	Facility		$852.10	$3,394.57	$5,654.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.71 / $1,373.58 / $2,260.71	Professional		$932.71	$1,373.58	$2,260.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $887.98 / $1,109.53 / $1,684.59	Facility		$887.98	$1,109.53	$1,684.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $860.00 / $2,016.98	Professional		$817.00	$860.00	$2,016.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $875.90 / $1,050.20 / $2,029.40	Professional		$875.90	$1,050.20	$2,029.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,050.00 / $15,712.00	Facility		$1,461.00	$2,050.00	$15,712.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.71 / $1,086.49 / $2,370.41	Professional		$780.71	$1,086.49	$2,370.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,858.51 / $16,547.20 / $26,542.00	Facility		$5,858.51	$16,547.20	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,218.11 / $9,218.11 / $9,218.11	Professional		$9,218.11	$9,218.11	$9,218.11