Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.82 / $786.04 / $1,473.34	Facility		$575.82	$786.04	$1,473.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.04 / $968.84 / $1,782.30	Professional		$786.04	$968.84	$1,782.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.35 / $1,906.83 / $2,056.50	Facility		$1,548.35	$1,906.83	$2,056.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.30 / $859.25 / $1,462.40	Professional		$411.30	$859.25	$1,462.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.50 / $1,272.22 / $2,399.33	Facility		$694.50	$1,272.22	$2,399.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.61 / $678.52 / $1,331.44	Professional		$423.61	$678.52	$1,331.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $1,572.08	Facility		$914.00	$914.00	$1,572.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $914.00	Professional		$640.00	$640.00	$914.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $914.00 / $1,750.31	Professional		$594.10	$914.00	$1,750.31
United Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $548.40 / $941.42	Professional		$457.00	$548.40	$941.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,590.36 / $4,341.50 / $4,341.50	Facility		$1,590.36	$4,341.50	$4,341.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,570.00 / $4,570.00 / $6,855.00	Professional		$4,570.00	$4,570.00	$6,855.00