Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.67 / $1,520.13 / $1,520.13	Facility		$866.67	$1,520.13	$1,520.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,520.13 / $1,569.13	Professional		$1,494.41	$1,520.13	$1,569.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.89 / $1,040.29 / $2,261.10	Facility		$1,019.89	$1,040.29	$2,261.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.24 / $1,893.99 / $3,432.91	Professional		$1,542.24	$1,893.99	$3,432.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,494.41 / $1,494.41	Facility		$1,409.82	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,370.07	Professional		$1,494.41	$1,494.41	$2,370.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $897.11 / $1,520.13 / $3,113.88	Facility		$897.11	$1,520.13	$3,113.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $910.19 / $910.19 / $2,011.39	Professional		$910.19	$910.19	$2,011.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.60 / $2,169.19 / $2,667.80	Professional		$1,929.60	$2,169.19	$2,667.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,942.73	Professional		$1,494.41	$1,494.41	$1,942.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,406.17 / $2,496.09 / $7,066.85	Facility		$2,406.17	$2,496.09	$7,066.85
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,066.85 / $7,066.85 / $7,066.85	Professional		$7,066.85	$7,066.85	$7,066.85