Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $2,238.72	Facility		$537.03	$645.65	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $831.76	Professional		$446.68	$549.54	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,995.26	Facility		$1,148.15	$1,621.81	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $575.44 / $1,071.52	Professional		$302.00	$575.44	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $1,778.28	Facility		$436.52	$1,071.52	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $912.01	Professional		$316.23	$501.19	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $1,174.90	Facility		$512.86	$602.56	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Professional		$676.08	$676.08	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $794.33	Facility		$389.05	$776.25	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $776.25	Professional		$281.84	$407.38	$776.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,011.87	Professional		$3,388.44	$3,388.44	$5,011.87