Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $544.38 / $6,519.00	Facility		$102.08	$544.38	$6,519.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.14 / $54.27 / $159.56	Facility	52	$31.14	$54.27	$159.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $183.98 / $350.60	Professional		$62.27	$183.98	$350.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.14 / $91.99 / $165.37	Professional	52	$31.14	$91.99	$165.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.35 / $352.35 / $352.35	Professional		$352.35	$352.35	$352.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $281.52 / $522.50	Professional		$112.10	$281.52	$522.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $196.78 / $439.20	Professional		$89.46	$196.78	$439.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $183.98 / $370.63	Facility		$62.27	$183.98	$370.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.84 / $226.84 / $480.45	Professional		$226.84	$226.84	$480.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $163.19 / $491.90	Professional		$91.52	$163.19	$491.90
United Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $874.00 / $2,229.00	Facility		$150.36	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $247.21 / $526.35	Professional		$184.48	$247.21	$526.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $438.42 / $438.42	Facility		$55.00	$438.42	$438.42
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $252.78 / $252.78 / $252.78	Facility	52	$252.78	$252.78	$252.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $927.00 / $1,361.68 / $1,601.63	Professional		$927.00	$1,361.68	$1,601.63