Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $8,709.64	Facility		$933.25	$1,445.44	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,454.71	Professional		$870.96	$1,071.52	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,344.23	Professional		$977.24	$1,202.26	$2,344.23
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 $870.96 / $1,258.93 / $2,344.23	Professional		$870.96	$1,258.93	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,819.70	Facility		$870.96	$1,148.15	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,778.28 / $2,137.96	Professional		$794.33	$1,778.28	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,862.09	Professional		$794.33	$1,023.29	$1,862.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $8,709.64 / $8,709.64	Facility		$56.23	$8,709.64	$8,709.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $8,317.64	Professional		$6,760.83	$6,760.83	$8,317.64