Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $5,867.10 / $12,375.10	Facility		$344.00	$5,867.10	$12,375.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.82 / $172.00 / $895.88	Facility	52	$116.82	$172.00	$895.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $728.69 / $1,848.35	Professional		$207.00	$728.69	$1,848.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $116.82 / $605.44 / $818.57	Professional	52	$116.82	$605.44	$818.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $222.62 / $1,813.43	Professional		$200.45	$222.62	$1,813.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.75 / $1,386.26 / $3,185.60	Professional		$354.75	$1,386.26	$3,185.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $730.99 / $2,543.80	Professional		$279.83	$730.99	$2,543.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $233.63 / $1,210.88 / $2,058.50	Facility		$233.63	$1,210.88	$2,058.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,617.31 / $1,617.31 / $1,617.31	Professional		$1,617.31	$1,617.31	$1,617.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,941.29 / $6,941.29 / $6,941.29	Facility		$6,941.29	$6,941.29	$6,941.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $328.04 / $1,546.04 / $1,984.42	Professional		$328.04	$1,546.04	$1,984.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.88 / $1,749.13 / $3,345.38	Professional		$1,192.88	$1,749.13	$3,345.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,918.66 / $1,918.66	Facility		$55.00	$1,918.66	$1,918.66
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $894.60 / $894.60 / $894.60	Facility	52	$894.60	$894.60	$894.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,299.66 / $8,227.04 / $9,699.60	Professional		$4,299.66	$8,227.04	$9,699.60