Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.91 / $3,046.62 / $6,915.00	Facility		$423.91	$3,046.62	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.63 / $108.68 / $196.35	Facility	52	$65.63	$108.68	$196.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $175.99 / $494.00	Professional		$2.39	$175.99	$494.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $184.41 / $532.26	Professional		$110.09	$184.41	$532.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $400.57 / $827.93	Professional		$221.05	$400.57	$827.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $342.80 / $586.97	Professional		$179.80	$342.80	$586.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $328.00 / $595.54	Facility		$131.25	$328.00	$595.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.38 / $394.38 / $618.30	Professional		$394.38	$394.38	$618.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.47 / $358.50 / $648.50	Professional		$188.47	$358.50	$648.50
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 $258.39 / $385.93 / $709.76	Professional		$258.39	$385.93	$709.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,051.33 / $1,051.33 / $16,394.00	Facility		$1,051.33	$1,051.33	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $514.26 / $514.26 / $514.26	Facility	52	$514.26	$514.26	$514.26
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $2,128.05 / $6,313.62	Professional		$1,272.00	$2,128.05	$6,313.62