Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $8,709.64	Facility		$1,318.26	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,235.94	Professional		$1,202.26	$1,513.56	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $3,311.31	Professional		$1,000.00	$1,737.80	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $35,481.34	Facility		$489.78	$575.44	$35,481.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,162.28	Professional		$1,288.25	$1,819.70	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,570.40	Facility		$1,230.27	$1,621.81	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $3,388.44	Professional		$1,202.26	$2,511.89	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $6,309.57	Facility		$309.03	$1,819.70	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,630.27	Professional		$1,096.48	$1,412.54	$2,630.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $12,022.64 / $12,022.64	Facility		$56.23	$12,022.64	$12,022.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $11,481.54	Professional		$9,332.54	$9,332.54	$11,481.54