Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.31 / $764.31 / $1,551.12	Facility		$764.31	$764.31	$1,551.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.39 / $764.31 / $764.31	Professional		$459.39	$764.31	$764.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.29 / $987.95 / $1,875.93	Facility		$823.29	$987.95	$1,875.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.33 / $770.18 / $770.18	Professional		$585.33	$770.18	$770.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.20 / $660.31 / $660.31	Facility		$635.20	$660.31	$660.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $660.31 / $1,183.50	Professional		$482.03	$660.31	$1,183.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $328.75 / $764.31 / $1,163.29	Facility		$328.75	$764.31	$1,163.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $577.00 / $577.00 / $721.00	Professional		$577.00	$577.00	$721.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.20 / $1,224.20 / $1,883.30	Professional		$1,224.20	$1,224.20	$1,883.30
United Facility/Professional Professional Modifier Low / Median / High Price $424.37 / $514.47 / $789.43	Professional		$424.37	$514.47	$789.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,578.86 / $6,464.70 / $6,464.70	Facility		$2,578.86	$6,464.70	$6,464.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,348.36 / $8,348.36 / $8,348.36	Professional		$8,348.36	$8,348.36	$8,348.36