Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,918.31 / $11,481.54	Facility		$1,288.25	$6,918.31	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,511.89	Professional		$851.14	$1,047.13	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,630.78	Facility		$2,818.38	$3,235.94	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,344.23	Professional		$1,000.00	$1,737.80	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,019.95 / $5,623.41	Facility		$501.19	$3,019.95	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,238.72	Professional		$870.96	$1,288.25	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,862.09	Facility		$851.14	$1,122.02	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $2,398.83	Professional		$912.01	$1,698.24	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,025.60 / $16,982.44	Facility		$1,513.56	$6,025.60	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,737.80	Professional		$758.58	$1,000.00	$1,737.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $42,657.95	Facility		$16,595.87	$16,595.87	$42,657.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11