Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.55 / $758.55 / $758.55	Facility		$758.55	$758.55	$758.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.79 / $758.55 / $758.55	Professional		$425.79	$758.55	$758.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.74 / $1,091.68 / $1,582.52	Facility		$909.74	$1,091.68	$1,582.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.24 / $675.71 / $743.28	Professional		$627.24	$675.71	$743.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $748.13	Professional		$464.99	$636.97	$748.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $425.96 / $758.55 / $910.26	Facility		$425.96	$758.55	$910.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $866.03 / $866.03 / $866.03	Professional		$866.03	$866.03	$866.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $694.15 / $893.73 / $1,231.95	Professional		$694.15	$893.73	$1,231.95
United Facility/Professional Professional Modifier Low / Median / High Price $384.75 / $537.41 / $779.43	Professional		$384.75	$537.41	$779.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,266.78 / $3,153.85 / $3,153.85	Facility		$1,266.78	$3,153.85	$3,153.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,494.50 / $4,856.85 / $4,856.85	Professional		$4,494.50	$4,856.85	$4,856.85