Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.72 / $795.72 / $1,453.68	Facility		$795.72	$795.72	$1,453.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $795.72 / $795.72	Professional		$331.90	$795.72	$795.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.87 / $1,347.98 / $1,660.07	Facility		$827.87	$1,347.98	$1,660.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.40 / $681.56 / $726.99	Professional		$613.40	$681.56	$726.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $562.12	Facility		$510.00	$510.00	$562.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $510.00 / $1,014.00	Professional		$372.30	$510.00	$1,014.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $260.95 / $795.72 / $1,034.44	Facility		$260.95	$795.72	$1,034.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $617.89	Professional		$511.00	$511.00	$617.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $997.30 / $997.30 / $1,533.30	Professional		$997.30	$997.30	$1,533.30
United Facility/Professional Professional Modifier Low / Median / High Price $336.84 / $449.32 / $640.13	Professional		$336.84	$449.32	$640.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,419.90 / $5,131.28 / $5,131.28	Facility		$1,419.90	$5,131.28	$5,131.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,282.69 / $5,282.69 / $6,232.88	Professional		$5,282.69	$5,282.69	$6,232.88