Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,137.38 / $4,376.00	Facility		$371.00	$1,137.38	$4,376.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $86.27 / $141.49 / $272.74	Facility	52	$86.27	$141.49	$272.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $231.49 / $598.58	Professional		$68.25	$231.49	$598.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.88 / $144.26 / $633.48	Professional		$120.88	$144.26	$633.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.56 / $547.59 / $1,000.77	Professional		$288.56	$547.59	$1,000.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.03 / $463.24 / $801.57	Professional		$233.03	$463.24	$801.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $407.00 / $770.58	Facility		$172.54	$407.00	$770.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $503.93 / $503.93 / $897.87	Professional		$503.93	$503.93	$897.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $417.85 / $3,565.85	Professional		$199.51	$417.85	$3,565.85
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 $356.70 / $487.93 / $1,035.10	Professional		$356.70	$487.93	$1,035.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,376.27 / $1,376.27 / $16,394.00	Facility		$1,376.27	$1,376.27	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $671.54 / $671.54 / $671.54	Facility	52	$671.54	$671.54	$671.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $2,658.56 / $3,053.40	Professional		$1,440.00	$2,658.56	$3,053.40