Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.80 / $813.80 / $1,651.60	Facility		$813.80	$813.80	$1,651.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.13 / $813.80 / $813.80	Professional		$489.13	$813.80	$813.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.09 / $1,621.88 / $1,997.39	Facility		$996.09	$1,621.88	$1,997.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.23 / $820.04 / $820.04	Professional		$623.23	$820.04	$820.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.35 / $719.79 / $719.79	Facility		$676.35	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $719.79 / $1,290.00	Professional		$525.45	$719.79	$1,290.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $813.80 / $1,231.31	Facility		$352.15	$813.80	$1,231.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $615.00 / $768.00	Professional		$615.00	$615.00	$768.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.10 / $1,312.10 / $2,017.40	Professional		$1,312.10	$1,312.10	$2,017.40
United Facility/Professional Professional Modifier Low / Median / High Price $419.09 / $545.48 / $840.57	Professional		$419.09	$545.48	$840.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,098.21 / $6,924.79 / $6,924.79	Facility		$2,098.21	$6,924.79	$6,924.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,260.09 / $7,260.09 / $8,200.43	Professional		$7,260.09	$7,260.09	$8,200.43