Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $361.88 / $5,449.00	Facility		$154.69	$361.88	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $234.02 / $404.67	Professional		$154.69	$234.02	$404.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.54 / $987.54 / $1,001.95	Facility		$987.54	$987.54	$1,001.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $362.58 / $659.57	Professional		$210.29	$362.58	$659.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $326.81 / $526.73	Professional		$170.38	$326.81	$526.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $280.82 / $666.00	Facility		$154.69	$280.82	$666.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $299.00 / $400.00	Professional		$299.00	$299.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $312.30 / $394.38	Professional		$215.38	$312.30	$394.38
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $355.07 / $636.26	Professional		$209.52	$355.07	$636.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $895.75 / $895.75 / $12,000.00	Facility		$895.75	$895.75	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,146.80 / $1,751.00 / $1,984.20	Professional		$1,146.80	$1,751.00	$1,984.20