Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.21 / $4,426.10 / $4,426.10	Facility		$813.21	$4,426.10	$4,426.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.21 / $972.46 / $1,666.98	Professional		$813.21	$972.46	$1,666.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.33 / $1,161.33 / $1,161.33	Facility		$1,161.33	$1,161.33	$1,161.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.66 / $1,647.18 / $2,818.59	Professional		$1,006.66	$1,647.18	$2,818.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $813.21 / $1,246.32 / $1,505.97	Facility		$813.21	$1,246.32	$1,505.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $1,268.00 / $1,449.00	Professional		$182.00	$1,268.00	$1,449.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.59 / $1,387.45 / $1,644.84	Professional		$203.59	$1,387.45	$1,644.84
United Facility/Professional Professional Modifier Low / Median / High Price $914.78 / $1,262.40 / $2,577.63	Professional		$914.78	$1,262.40	$2,577.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,886.58 / $5,572.13 / $5,572.13	Facility		$1,886.58	$5,572.13	$5,572.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,397.70 / $8,712.53 / $8,712.53	Professional		$6,397.70	$8,712.53	$8,712.53