Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.90 / $3,895.00 / $4,376.00	Facility		$243.90	$3,895.00	$4,376.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $271.52 / $420.25	Professional		$159.90	$271.52	$420.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.15 / $1,627.07 / $2,761.08	Facility		$1,479.15	$1,627.07	$2,761.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.75 / $358.00 / $676.15	Professional		$207.75	$358.00	$676.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $650.35 / $1,226.89	Facility		$453.24	$650.35	$1,226.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.68 / $317.01 / $653.07	Professional		$174.68	$317.01	$653.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.65 / $301.29 / $445.17	Facility		$164.65	$301.29	$445.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $534.00 / $786.67	Professional		$408.00	$534.00	$786.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $291.89 / $693.60	Professional		$250.90	$291.89	$693.60
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,233.00 / $4,877.00	Facility		$400.00	$1,233.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $323.60 / $767.50	Professional		$231.65	$323.60	$767.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,154.58 / $1,154.58 / $16,394.00	Facility		$1,154.58	$1,154.58	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,231.81 / $2,266.40 / $2,718.23	Professional		$1,231.81	$2,266.40	$2,718.23