Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.21 / $635.21 / $1,289.13	Facility		$635.21	$635.21	$1,289.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.79 / $635.21 / $635.21	Professional		$381.79	$635.21	$635.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.24 / $821.09 / $1,559.05	Facility		$684.24	$821.09	$1,559.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.16 / $640.08 / $640.08	Professional		$594.16	$640.08	$640.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $528.74	Facility		$528.74	$528.74	$528.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $528.74 / $1,099.88	Professional		$385.98	$528.74	$1,099.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $635.21 / $951.62	Facility		$258.31	$635.21	$951.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $624.50 / $624.50 / $624.50	Professional		$624.50	$624.50	$624.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $962.40 / $962.40 / $1,479.80	Professional		$962.40	$962.40	$1,479.80
United Facility/Professional Professional Modifier Low / Median / High Price $333.38 / $425.77 / $633.53	Professional		$333.38	$425.77	$633.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,594.05 / $4,467.28 / $4,467.28	Facility		$1,594.05	$4,467.28	$4,467.28
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $6,015.15 / $6,015.15	Professional		$4,528.81	$6,015.15	$6,015.15