Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.53 / $3,222.04 / $6,287.21	Facility		$700.53	$3,222.04	$6,287.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.28 / $54.95 / $211.75	Facility	53	$32.28	$54.95	$211.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $495.72 / $1,130.21	Professional		$158.57	$495.72	$1,130.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.21 / $218.21 / $218.21	Professional		$218.21	$218.21	$218.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.50 / $1,018.14 / $1,678.64	Professional		$289.50	$1,018.14	$1,678.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.77 / $698.77 / $1,415.35	Professional		$221.77	$698.77	$1,415.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $499.59 / $978.27	Facility		$161.41	$499.59	$978.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.60 / $891.60 / $1,517.91	Professional		$891.60	$891.60	$1,517.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $696.79 / $897.20	Professional		$230.10	$696.79	$897.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.29 / $897.16 / $1,447.98	Professional		$588.29	$897.16	$1,447.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $781.85 / $781.85	Facility		$55.00	$781.85	$781.85
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $156.37 / $156.37 / $156.37	Facility	53	$156.37	$156.37	$156.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,820.49 / $3,502.96 / $4,077.23	Professional		$1,820.49	$3,502.96	$4,077.23