Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $699.02 / $4,311.00	Facility		$63.96	$699.02	$4,311.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.72 / $10.73 / $16.39	Facility	53	$8.72	$10.73	$16.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $47.00 / $126.33	Professional		$35.49	$47.00	$126.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $50.73 / $90.02	Professional		$28.42	$50.73	$90.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $118.33 / $260.08	Professional		$74.93	$118.33	$260.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $81.63 / $134.88	Professional		$58.40	$81.63	$134.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $79.17 / $131.86	Facility		$43.58	$79.17	$131.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $67.12 / $67.12	Professional		$67.12	$67.12	$67.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $17,556.80 / $17,556.80 / $26,923.13	Facility		$17,556.80	$17,556.80	$26,923.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $69.33 / $81.80	Professional		$62.84	$69.33	$81.80
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,355.00	Facility		$361.00	$896.00	$2,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $71.59 / $121.58	Professional		$45.39	$71.59	$121.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $111.95 / $1,300.00	Facility		$55.00	$111.95	$1,300.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $20.78 / $22.39 / $50.00	Facility	53	$20.78	$22.39	$50.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $543.00 / $543.00	Professional		$543.00	$543.00	$543.00