Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.14 / $588.14 / $1,193.64	Facility		$588.14	$588.14	$1,193.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $588.14 / $588.14	Professional		$353.50	$588.14	$588.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.87 / $1,172.15 / $1,443.53	Facility		$719.87	$1,172.15	$1,443.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $592.66 / $592.66	Professional		$450.42	$592.66	$592.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.81 / $589.44 / $589.44	Facility		$488.81	$589.44	$589.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $1,020.75	Professional		$430.29	$589.44	$1,020.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.51 / $588.14 / $931.13	Facility		$254.51	$588.14	$931.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $444.00 / $555.00	Professional		$444.00	$444.00	$555.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.80 / $1,053.80 / $1,620.30	Professional		$1,053.80	$1,053.80	$1,620.30
United Facility/Professional Professional Modifier Low / Median / High Price $302.89 / $395.90 / $618.47	Professional		$302.89	$395.90	$618.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,479.44 / $4,214.43 / $4,214.43	Facility		$1,479.44	$4,214.43	$4,214.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $5,246.98 / $5,246.98 / $6,586.50	Professional		$5,246.98	$5,246.98	$6,586.50