Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.16 / $965.53 / $7,439.00	Facility		$652.16	$965.53	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $652.16 / $1,176.72	Professional		$577.04	$652.16	$1,176.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.19 / $1,271.76 / $1,655.20	Professional		$817.19	$1,271.76	$1,655.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.59 / $1,028.25 / $1,680.00	Professional		$698.59	$1,028.25	$1,680.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $652.16 / $840.91 / $1,651.33	Facility		$652.16	$840.91	$1,651.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $809.90 / $809.90 / $1,637.49	Professional		$809.90	$809.90	$1,637.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $997.90 / $1,684.60	Professional		$5.00	$997.90	$1,684.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,353.00 / $6,885.00 / $9,616.00	Facility		$2,353.00	$6,885.00	$9,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.76 / $873.24 / $1,833.29	Professional		$614.76	$873.24	$1,833.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,690.42 / $4,567.56	Facility		$55.00	$3,690.42	$4,567.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,443.68 / $5,443.68 / $5,587.73	Professional		$5,443.68	$5,443.68	$5,587.73