Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.48 / $1,615.00 / $12,615.00	Facility		$581.48	$1,615.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.48 / $581.48 / $959.57	Professional		$581.48	$581.48	$959.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $982.66 / $1,400.59	Professional		$336.71	$982.66	$1,400.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.79 / $922.84 / $1,497.31	Professional		$612.79	$922.84	$1,497.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $581.48 / $738.92 / $1,459.55	Facility		$581.48	$738.92	$1,459.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $726.87 / $726.87 / $1,462.15	Professional		$726.87	$726.87	$1,462.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $941.40 / $1,501.50	Professional		$3.00	$941.40	$1,501.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $12,216.00 / $19,066.00	Facility		$5,293.00	$12,216.00	$19,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.04 / $768.16 / $1,594.49	Professional		$548.04	$768.16	$1,594.49
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,177.12 / $12,623.50 / $26,542.00	Facility		$2,177.12	$12,623.50	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,239.12 / $4,239.12 / $4,969.72	Professional		$4,239.12	$4,239.12	$4,969.72