Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $159.25 / $159.25	Facility		$159.25	$159.25	$159.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $159.25 / $159.25	Professional		$53.00	$159.25	$159.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $53.47 / $58.82	Professional		$49.63	$53.47	$58.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $53.00 / $53.00	Facility		$50.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $175.73	Professional		$53.00	$53.00	$175.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $295.98 / $1,254.00	Facility		$123.00	$295.98	$1,254.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $798.00 / $798.00	Professional		$109.25	$798.00	$798.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $74.59 / $74.59	Professional		$74.59	$74.59	$74.59
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $69.95	Professional		$53.00	$53.00	$69.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,140.00 / $1,140.00	Facility		$969.00	$1,140.00	$1,140.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,288.20 / $1,288.20 / $1,288.20	Professional		$1,288.20	$1,288.20	$1,288.20