Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.30 / $1,082.30 / $2,196.51	Facility		$1,082.30	$1,082.30	$2,196.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.62 / $1,082.30 / $1,082.30	Professional		$725.62	$1,082.30	$1,082.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.84 / $1,399.02 / $2,656.40	Facility		$1,165.84	$1,399.02	$2,656.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.37 / $1,090.59 / $1,090.60	Professional		$1,012.37	$1,090.59	$1,090.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $908.63	Facility		$908.63	$908.63	$908.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $908.63 / $1,945.88	Professional		$663.30	$908.63	$1,945.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $1,082.30 / $1,639.19	Facility		$468.34	$1,082.30	$1,639.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,064.06 / $1,064.06 / $1,064.06	Professional		$1,064.06	$1,064.06	$1,064.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.30 / $1,771.30 / $2,723.50	Professional		$1,771.30	$1,771.30	$2,723.50
United Facility/Professional Professional Modifier Low / Median / High Price $604.54 / $728.53 / $1,117.90	Professional		$604.54	$728.53	$1,117.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,107.99 / $9,209.54 / $9,209.54	Facility		$3,107.99	$9,209.54	$9,209.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $10,061.10 / $11,070.83 / $11,070.83	Professional		$10,061.10	$11,070.83	$11,070.83