Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $501.19	Professional		$288.40	$389.05	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,348.96	Facility		$630.96	$1,000.00	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $562.34	Professional		$501.19	$512.86	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $776.25	Professional		$316.23	$316.23	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $446.68	Professional		$316.23	$338.84	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $1,000.00	Facility		$281.84	$562.34	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $446.68 / $537.03	Facility		$251.19	$446.68	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $478.63	Professional		$263.03	$338.84	$478.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,897.79 / $4,897.79	Professional		$3,388.44	$4,897.79	$4,897.79