Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.49 / $1,539.89 / $3,915.00	Facility		$472.49	$1,539.89	$3,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.35 / $67.50 / $138.58	Facility	52	$36.35	$67.50	$138.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $121.66 / $286.18	Professional		$67.14	$121.66	$286.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $217.40 / $219.33	Professional		$121.66	$217.40	$219.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $211.38 / $339.90	Professional		$119.41	$211.38	$339.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $160.12 / $284.27	Professional		$94.16	$160.12	$284.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $144.78 / $213.36	Facility		$72.69	$144.78	$213.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $171.93 / $316.35	Professional		$171.93	$171.93	$316.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,723.87 / $1,723.87 / $7,806.91	Facility		$1,723.87	$1,723.87	$7,806.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $164.10 / $209.92	Professional		$103.52	$164.10	$209.92
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $170.98 / $341.10	Professional		$122.33	$170.98	$341.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $351.60 / $351.60	Facility		$351.60	$351.60	$351.60
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $281.27 / $281.27 / $281.27	Facility	52	$281.27	$281.27	$281.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $529.12 / $597.08 / $1,111.88	Professional		$529.12	$597.08	$1,111.88