Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.30 / $2,209.23 / $7,278.00	Facility		$415.30	$2,209.23	$7,278.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $207.65 / $216.85 / $339.66	Facility	52	$207.65	$216.85	$339.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $437.17 / $1,023.63	Professional		$385.43	$437.17	$1,023.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $371.22 / $577.15	Professional		$220.19	$371.22	$577.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.71 / $709.42 / $1,159.77	Professional		$519.71	$709.42	$1,159.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $2,710.28	Facility		$530.04	$530.04	$2,710.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.28 / $624.51 / $1,093.25	Professional		$468.28	$624.51	$1,093.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.30 / $597.20 / $923.26	Facility		$415.30	$597.20	$923.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $76.91 / $103.72 / $135.52	Facility	AS	$76.91	$103.72	$135.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $540.00 / $600.00	Professional		$507.00	$540.00	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $748.31 / $1,176.59	Professional		$3.00	$748.31	$1,176.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.54 / $517.88 / $1,136.18	Professional		$370.54	$517.88	$1,136.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,567.08 / $8,957.00 / $16,394.00	Facility		$1,567.08	$8,957.00	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $774.70 / $4,083.38 / $6,791.96	Facility	52	$774.70	$4,083.38	$6,791.96
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $96.84 / $510.42 / $849.00	Facility	AS	$96.84	$510.42	$849.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,366.84 / $3,366.84 / $3,564.15	Professional		$3,366.84	$3,366.84	$3,564.15