Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $1,949.84	Facility		$467.74	$630.96	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $707.95	Professional		$389.05	$467.74	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,819.70	Facility		$1,000.00	$1,318.26	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $933.25	Professional		$263.03	$501.19	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $933.25 / $1,548.82	Facility		$398.11	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $891.25	Professional		$269.15	$407.38	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $851.14	Facility		$416.87	$524.81	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $616.60	Professional		$588.84	$588.84	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $707.95	Facility		$346.74	$691.83	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $645.65	Professional		$245.47	$346.74	$645.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,365.16	Professional		$2,951.21	$2,951.21	$4,365.16