Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.31 / $6,677.82 / $15,841.19	Facility		$1,342.31	$6,677.82	$15,841.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.80 / $1,029.06 / $1,053.85	Professional		$958.80	$1,029.06	$1,053.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $968.20 / $968.20 / $1,108.98	Facility		$968.20	$968.20	$1,108.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.85 / $1,084.85 / $1,503.55	Professional		$1,084.85	$1,084.85	$1,503.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $826.56 / $958.80 / $1,363.82	Facility		$826.56	$958.80	$1,363.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $826.56 / $826.56 / $1,843.34	Professional		$826.56	$826.56	$1,843.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.30 / $1,821.47 / $2,160.69	Professional		$1,742.30	$1,821.47	$2,160.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,363.82	Professional		$1,033.20	$1,033.20	$1,363.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,177.84 / $2,506.60 / $4,104.20	Facility		$1,177.84	$2,506.60	$4,104.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,711.39 / $4,711.39 / $5,313.60	Professional		$4,711.39	$4,711.39	$5,313.60