Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,737.80	Professional		$602.56	$758.58	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $1,621.81	Professional		$741.31	$1,202.26	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,698.24	Professional		$676.08	$977.24	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,348.96	Facility		$676.08	$870.96	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,548.82	Professional		$501.19	$1,096.48	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,230.27	Professional		$549.54	$724.44	$1,230.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,165.95	Professional		$5,370.32	$5,370.32	$6,165.95