Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.58 / $1,000.58 / $1,726.07	Facility		$1,000.58	$1,000.58	$1,726.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.64 / $1,000.58 / $1,000.58	Professional		$489.64	$1,000.58	$1,000.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $916.14 / $1,099.36 / $2,087.46	Facility		$916.14	$1,099.36	$2,087.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.33 / $857.02 / $857.02	Professional		$651.33	$857.02	$857.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.84 / $714.02 / $714.02	Facility		$706.84	$714.02	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.01 / $1,562.63	Professional		$521.23	$714.01	$1,562.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $368.03 / $1,000.58 / $1,300.75	Facility		$368.03	$1,000.58	$1,300.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $643.00 / $643.00 / $776.95	Professional		$643.00	$643.00	$776.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.20 / $1,546.20 / $2,377.40	Professional		$1,546.20	$1,546.20	$2,377.40
United Facility/Professional Professional Modifier Low / Median / High Price $437.99 / $570.07 / $864.94	Professional		$437.99	$570.07	$864.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,942.91 / $7,237.01 / $7,237.01	Facility		$1,942.91	$7,237.01	$7,237.01
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,613.88 / $10,613.88 / $10,613.88	Professional		$10,613.88	$10,613.88	$10,613.88