Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.22 / $2,686.79 / $6,649.00	Facility		$243.22	$2,686.79	$6,649.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.45 / $106.91 / $186.78	Facility	52	$64.45	$106.91	$186.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $243.22 / $538.94	Professional		$128.88	$243.22	$538.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $180.06 / $229.52	Professional		$180.06	$180.06	$229.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.97 / $394.98 / $784.25	Professional		$217.97	$394.98	$784.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $330.34 / $570.87	Professional		$176.84	$330.34	$570.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.88 / $341.11 / $591.41	Facility		$128.88	$341.11	$591.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.52 / $389.52 / $597.29	Professional		$389.52	$389.52	$597.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $352.33 / $651.50	Professional		$186.25	$352.33	$651.50
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 $235.96 / $367.47 / $689.11	Professional		$235.96	$367.47	$689.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,037.05 / $1,037.05 / $12,000.00	Facility		$1,037.05	$1,037.05	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $507.15 / $507.15 / $507.15	Facility	52	$507.15	$507.15	$507.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,812.48 / $2,099.69	Professional		$1,212.00	$1,812.48	$2,099.69