Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.36 / $900.06 / $8,413.00	Facility		$456.36	$900.06	$8,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.36 / $635.24 / $900.06	Professional		$456.36	$635.24	$900.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $915.50 / $1,548.28	Professional		$302.56	$915.50	$1,548.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.07 / $874.59 / $1,528.67	Professional		$516.07	$874.59	$1,528.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.36 / $704.16 / $1,261.57	Facility		$456.36	$704.16	$1,261.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $800.24 / $800.24 / $1,539.34	Professional		$800.24	$800.24	$1,539.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $681.30 / $1,717.60	Professional		$5.00	$681.30	$1,717.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $7,659.00 / $10,502.00	Facility		$2,526.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.77 / $821.38 / $1,759.39	Professional		$573.77	$821.38	$1,759.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,250.44 / $3,250.44 / $26,542.00	Facility		$3,250.44	$3,250.44	$26,542.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,458.00 / $4,678.39 / $5,467.50	Professional		$4,458.00	$4,678.39	$5,467.50