Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.86 / $1,245.00 / $10,561.00	Facility		$674.86	$1,245.00	$10,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.86 / $719.32 / $1,370.86	Professional		$674.86	$719.32	$1,370.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.15 / $1,105.69 / $1,666.87	Professional		$637.15	$1,105.69	$1,666.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.33 / $973.04 / $1,721.00	Professional		$742.33	$973.04	$1,721.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $674.86 / $878.00 / $1,353.29	Facility		$674.86	$878.00	$1,353.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $861.00 / $909.00	Professional		$716.00	$861.00	$909.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $925.90 / $1,881.90	Professional		$3.00	$925.90	$1,881.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.22 / $873.55 / $1,685.89	Professional		$582.22	$873.55	$1,685.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,633.60 / $8,957.00 / $26,542.00	Facility		$2,633.60	$8,957.00	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,087.68 / $5,087.68 / $6,063.15	Professional		$5,087.68	$5,087.68	$6,063.15