Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.44 / $516.44 / $1,048.10	Facility		$516.44	$516.44	$1,048.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.41 / $516.44 / $516.44	Professional		$310.41	$516.44	$516.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.12 / $1,029.26 / $1,267.56	Facility		$632.12	$1,029.26	$1,267.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.07 / $520.40 / $572.44	Professional		$483.07	$520.40	$572.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.21 / $500.58 / $500.58	Facility		$429.21	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $500.58 / $897.00	Professional		$365.42	$500.58	$897.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $516.44 / $781.40	Facility		$223.48	$516.44	$781.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $487.00	Professional		$390.00	$390.00	$487.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $832.60 / $832.60 / $1,280.20	Professional		$832.60	$832.60	$1,280.20
United Facility/Professional Professional Modifier Low / Median / High Price $288.47 / $347.63 / $543.08	Professional		$288.47	$347.63	$543.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,381.92 / $4,394.56 / $4,394.56	Facility		$1,381.92	$4,394.56	$4,394.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,607.35 / $4,607.35 / $5,204.03	Professional		$4,607.35	$4,607.35	$5,204.03