Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $489.60 / $489.60	Facility		$489.60	$489.60	$489.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $489.60 / $511.97	Professional		$487.59	$489.60	$511.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $240.82 / $264.89	Professional		$223.54	$240.82	$264.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.99 / $487.59 / $487.59	Facility		$459.99	$487.59	$487.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $689.98	Professional		$487.59	$487.59	$689.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $885.89 / $1,078.00	Facility		$489.60	$885.89	$1,078.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $931.00 / $931.00 / $931.00	Professional		$931.00	$931.00	$931.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $685.60 / $685.60 / $685.60	Professional		$685.60	$685.60	$685.60
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $643.62	Professional		$487.59	$487.59	$643.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $833.00 / $1,530.45	Facility		$833.00	$833.00	$1,530.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,386.13 / $2,386.13 / $3,067.88	Professional		$2,386.13	$2,386.13	$3,067.88