Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $73.06 / $1,615.00	Facility		$44.80	$73.06	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $73.06 / $166.58	Professional		$44.80	$73.06	$166.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.40 / $35.08 / $42.14	Professional	52	$22.40	$35.08	$42.14
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.96 / $14.61 / $23.68	Professional	53	$8.96	$14.61	$23.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $126.41 / $189.09	Professional		$68.26	$126.41	$189.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $94.11 / $162.94	Professional		$58.15	$94.11	$162.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $94.15 / $145.24	Facility		$44.80	$94.15	$145.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $95.97 / $170.65	Professional		$95.97	$95.97	$170.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $109.80 / $194.60	Professional		$3.00	$109.80	$194.60
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $101.42 / $194.52	Professional		$67.22	$101.42	$194.52
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $220.78 / $220.78	Facility		$55.00	$220.78	$220.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $330.24 / $533.04 / $626.85	Professional		$330.24	$533.04	$626.85