Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.61 / $1,718.94 / $3,912.05	Facility		$546.61	$1,718.94	$3,912.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $361.17 / $783.87	Professional		$328.34	$361.17	$783.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.52 / $545.27 / $617.28	Facility		$303.52	$545.27	$617.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $342.65 / $1,625.31	Professional		$311.50	$342.65	$1,625.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $328.34 / $649.28	Facility		$309.75	$328.34	$649.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $885.00	Professional		$328.34	$328.34	$885.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $567.04 / $1,487.23	Facility		$16.00	$567.04	$1,487.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $438.00 / $1,737.14	Professional		$12.00	$438.00	$1,737.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $506.45 / $525.34 / $1,551.90	Professional		$506.45	$525.34	$1,551.90
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $410.43	Professional		$328.34	$348.04	$410.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,621.88 / $5,222.64 / $5,222.64	Facility		$1,621.88	$5,222.64	$5,222.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,027.78 / $6,027.78 / $6,027.78	Professional		$6,027.78	$6,027.78	$6,027.78