Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.70 / $971.70 / $971.70	Facility		$971.70	$971.70	$971.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.77 / $971.70 / $971.70	Professional		$473.77	$971.70	$971.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.09 / $1,968.68 / $2,079.13	Facility		$1,646.09	$1,968.68	$2,079.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.58 / $832.28 / $887.77	Professional		$772.58	$832.28	$887.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $616.27	Facility		$616.27	$616.27	$616.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $1,279.50	Professional		$449.88	$616.27	$1,279.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.35 / $971.70 / $1,166.04	Facility		$722.35	$971.70	$1,166.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $881.56 / $881.56 / $881.56	Professional		$881.56	$881.56	$881.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.70 / $1,292.70 / $1,292.70	Professional		$1,292.70	$1,292.70	$1,292.70
United Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $553.62 / $881.56	Professional		$422.50	$553.62	$881.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,854.27 / $5,140.93 / $5,140.93	Facility		$1,854.27	$5,140.93	$5,140.93
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,568.19 / $8,079.60 / $8,079.60	Professional		$5,568.19	$8,079.60	$8,079.60