Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.90 / $685.67 / $5,449.00	Facility		$415.90	$685.67	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.90 / $445.77 / $727.15	Professional		$415.90	$445.77	$727.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.49 / $816.09 / $1,223.67	Professional		$584.49	$816.09	$1,223.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.88 / $700.37 / $1,226.50	Professional		$472.88	$700.37	$1,226.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.90 / $612.99 / $1,089.29	Facility		$415.90	$612.99	$1,089.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $610.39 / $610.39 / $1,124.88	Professional		$610.39	$610.39	$1,124.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $821.20 / $1,157.90	Professional		$3.00	$821.20	$1,157.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,179.33 / $7,162.00 / $10,502.00	Facility		$2,179.33	$7,162.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.47 / $644.25 / $1,439.15	Professional		$434.47	$644.25	$1,439.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,147.29 / $2,147.29 / $12,000.00	Facility		$2,147.29	$2,147.29	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,133.76 / $3,857.48 / $4,093.34	Professional		$3,133.76	$3,857.48	$4,093.34