Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.11 / $3,819.00 / $4,922.05	Facility		$696.11	$3,819.00	$4,922.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.72 / $706.37 / $1,274.23	Professional		$659.72	$706.37	$1,274.23
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 $729.36 / $1,343.01 / $1,865.25	Professional		$729.36	$1,343.01	$1,865.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.09 / $1,626.65 / $2,709.73	Facility		$788.09	$1,626.65	$2,709.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.09 / $989.01 / $1,784.35	Professional		$669.09	$989.01	$1,784.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $822.59 / $1,249.86	Facility		$691.00	$822.59	$1,249.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $898.00 / $1,592.00 / $1,808.00	Professional		$898.00	$1,592.00	$1,808.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.79 / $731.80 / $1,497.60	Professional		$613.79	$731.80	$1,497.60
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.78 / $790.95 / $1,819.73	Professional		$583.78	$790.95	$1,819.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,874.20 / $7,929.30 / $26,542.00	Facility		$3,874.20	$7,929.30	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,066.64 / $5,066.64 / $5,884.28	Professional		$5,066.64	$5,066.64	$5,884.28