Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,548.82	Professional		$676.08	$891.25	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $3,548.13	Facility		$1,659.59	$2,630.27	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,513.56	Professional		$1,348.96	$1,348.96	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $891.25 / $1,096.48	Facility		$794.33	$891.25	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,412.54	Professional		$645.65	$645.65	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $977.24	Professional		$645.65	$691.83	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,548.82 / $2,398.83	Facility		$676.08	$1,548.82	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $1,412.54	Facility		$467.74	$691.83	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,258.93	Professional		$588.84	$851.14	$1,258.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $11,748.98	Professional		$8,128.31	$8,128.31	$11,748.98