Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.71 / $2,436.06 / $5,177.00	Facility		$596.71	$2,436.06	$5,177.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.00 / $90.28 / $223.66	Facility	52	$54.00	$90.28	$223.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.60 / $36.11 / $89.47	Facility	53	$21.60	$36.11	$89.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $294.56 / $680.68	Professional		$99.81	$294.56	$680.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $195.96 / $487.99	Professional		$142.33	$195.96	$487.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $569.60 / $1,585.24	Professional		$187.75	$569.60	$1,585.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $345.94 / $880.26	Professional		$146.41	$345.94	$880.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $315.13 / $853.13	Facility		$107.99	$315.13	$853.13
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $327.80 / $1,279.70 / $1,279.70	Facility	50	$327.80	$1,279.70	$1,279.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $769.90 / $769.90 / $853.13	Professional		$769.90	$769.90	$853.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $240.30 / $1,479.60	Professional		$4.00	$240.30	$1,479.60
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $609.64 / $954.90	Professional		$301.58	$609.64	$954.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $611.65 / $611.65	Facility		$55.00	$611.65	$611.65
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $415.68 / $415.68 / $415.68	Facility	52	$415.68	$415.68	$415.68
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $103.92 / $103.92 / $103.92	Facility	53	$103.92	$103.92	$103.92
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,945.70 / $1,945.70 / $2,888.22	Professional		$1,945.70	$1,945.70	$2,888.22