Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $489.26 / $498.26	Facility		$489.26	$489.26	$498.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $489.26 / $489.26	Professional		$460.48	$489.26	$489.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.40 / $470.40 / $470.40	Facility		$470.40	$470.40	$470.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $513.23 / $513.23	Professional		$45.60	$513.23	$513.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $508.43 / $798.05	Facility		$489.26	$508.43	$798.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $575.60	Professional		$508.43	$508.43	$575.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $498.26 / $587.11	Facility		$489.26	$498.26	$587.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $498.26 / $698.00 / $756.83	Professional		$498.26	$698.00	$756.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $647.96 / $648.15	Professional		$547.20	$647.96	$648.15
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $610.14 / $690.72	Professional		$575.60	$610.14	$690.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $575.60 / $2,644.30 / $2,644.30	Facility		$575.60	$2,644.30	$2,644.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,913.87 / $1,913.87 / $1,913.87	Professional		$1,913.87	$1,913.87	$1,913.87