Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $851.14	Professional		$660.69	$660.69	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $281.84	Facility		$125.89	$125.89	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $602.56	Professional		$89.13	$89.13	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $851.14 / $1,202.26	Facility		$269.15	$851.14	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,318.26	Facility		$724.44	$1,174.90	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $724.44 / $1,000.00	Professional		$125.89	$724.44	$1,000.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89