Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.61 / $303.61 / $303.61	Facility		$303.61	$303.61	$303.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $303.61 / $303.61	Professional		$161.62	$303.61	$303.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $119.29 / $131.22	Professional		$110.73	$119.29	$131.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $161.62 / $161.62	Facility		$152.47	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $303.61	Professional		$161.62	$161.62	$303.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $252.56 / $491.32	Facility		$183.47	$252.56	$491.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.47 / $183.47	Professional		$183.47	$183.47	$183.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $232.00	Professional		$232.00	$232.00	$232.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $213.34	Professional		$161.62	$161.62	$213.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $379.65 / $379.65 / $758.53	Facility		$379.65	$379.65	$758.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,004.96 / $1,004.96 / $2,009.93	Professional		$1,004.96	$1,004.96	$2,009.93