Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.24 / $666.93 / $7,439.00	Facility		$449.24	$666.93	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.24 / $449.24 / $908.27	Professional		$449.24	$449.24	$908.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.19 / $817.96 / $1,146.89	Professional		$537.19	$817.96	$1,146.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.75 / $681.63 / $1,180.44	Professional		$454.75	$681.63	$1,180.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $449.24 / $556.14 / $1,184.38	Facility		$449.24	$556.14	$1,184.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $530.80 / $530.80 / $1,211.63	Professional		$530.80	$530.80	$1,211.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $626.90 / $1,186.80	Professional		$9.00	$626.90	$1,186.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.76 / $581.91 / $1,458.52	Professional		$428.76	$581.91	$1,458.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,465.60 / $5,346.60	Facility		$55.00	$4,465.60	$5,346.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,535.02 / $3,535.02 / $4,211.70	Professional		$3,535.02	$3,535.02	$4,211.70