Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.57 / $904.57 / $1,560.46	Facility		$904.57	$904.57	$1,560.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.04 / $904.57 / $904.57	Professional		$441.04	$904.57	$904.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $828.24 / $993.89 / $1,887.15	Facility		$828.24	$993.89	$1,887.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $774.79 / $774.79	Professional		$588.84	$774.79	$774.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.03 / $751.98 / $751.98	Facility		$639.03	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.22 / $548.95 / $1,347.75	Professional		$511.22	$548.95	$1,347.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $312.52 / $904.57 / $1,175.94	Facility		$312.52	$904.57	$1,175.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $581.00 / $702.41	Professional		$581.00	$581.00	$702.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.10 / $1,485.10 / $2,283.40	Professional		$1,485.10	$1,485.10	$2,283.40
United Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $479.78 / $633.41	Facility		$373.00	$479.78	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $393.31 / $510.78 / $747.30	Professional		$393.31	$510.78	$747.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,856.36 / $6,145.65 / $6,145.65	Facility		$1,856.36	$6,145.65	$6,145.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,210.34 / $6,210.34 / $9,281.78	Professional		$6,210.34	$6,210.34	$9,281.78