Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.55 / $8,399.82 / $11,124.00	Facility		$821.55	$8,399.82	$11,124.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $616.16 / $616.16 / $955.05	Facility	54	$616.16	$616.16	$955.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $821.55 / $1,356.62	Professional		$761.10	$821.55	$1,356.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $119.47 / $123.23 / $176.22	Professional	55	$119.47	$123.23	$176.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.84 / $1,131.83 / $2,643.34	Professional		$692.84	$1,131.83	$2,643.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.96 / $1,115.06 / $2,578.57	Professional		$797.96	$1,115.06	$2,578.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $821.55 / $1,125.09 / $1,125.09	Facility		$821.55	$1,125.09	$1,125.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,125.09 / $1,125.09 / $1,125.09	Professional		$1,125.09	$1,125.09	$1,125.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $894.49 / $1,014.74 / $1,334.40	Professional		$894.49	$1,014.74	$1,334.40
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 $795.69 / $1,119.18 / $2,275.78	Professional		$795.69	$1,119.18	$2,275.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,343.05	Facility		$55.00	$55.00	$21,343.05
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,375.68 / $1,545.59 / $14,161.14	Facility	54	$1,375.68	$1,545.59	$14,161.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,188.96 / $6,982.88 / $6,982.88	Professional		$6,188.96	$6,982.88	$6,982.88