Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.35 / $6,506.86 / $9,648.00	Facility		$1,076.35	$6,506.86	$9,648.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.75 / $124.75 / $197.77	Facility	52	$124.75	$124.75	$197.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $1,432.77 / $2,702.90	Facility		$290.89	$1,432.77	$2,702.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $345.00 / $549.54	Facility		$249.50	$345.00	$549.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,818.03 / $8,818.03 / $8,818.03	Facility		$8,818.03	$8,818.03	$8,818.03
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,436.16 / $7,909.30 / $26,542.00	Facility		$1,436.16	$7,909.30	$26,542.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $475.39 / $5,997.52 / $5,997.52	Facility	52	$475.39	$5,997.52	$5,997.52