Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.75 / $1,492.75 / $3,029.51	Facility		$1,492.75	$1,492.75	$3,029.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.22 / $1,492.75 / $1,492.75	Professional		$897.22	$1,492.75	$1,492.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,607.99 / $1,929.59 / $3,663.82	Facility		$1,607.99	$1,929.59	$3,663.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.31 / $1,504.21 / $1,654.63	Professional		$1,396.31	$1,504.21	$1,654.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,240.61 / $1,576.65 / $1,576.65	Facility		$1,240.61	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $2,825.63	Professional		$1,150.95	$1,576.65	$2,825.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $1,492.75 / $2,258.57	Facility		$604.26	$1,492.75	$2,258.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,128.00 / $1,128.00 / $1,408.00	Professional		$1,128.00	$1,128.00	$1,408.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,257.00 / $2,257.00 / $3,470.20	Professional		$2,257.00	$2,257.00	$3,470.20
United Facility/Professional Professional Modifier Low / Median / High Price $768.74 / $1,000.57 / $1,450.83	Professional		$768.74	$1,000.57	$1,450.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,094.65 / $10,188.70 / $10,188.70	Facility		$4,094.65	$10,188.70	$10,188.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $11,243.79 / $11,243.79 / $14,106.00	Professional		$11,243.79	$11,243.79	$14,106.00