Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $3,116.10 / $4,978.00	Facility		$85.28	$3,116.10	$4,978.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.64 / $74.95 / $160.55	Facility	52	$42.64	$74.95	$160.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.05 / $29.98 / $64.22	Facility	53	$17.05	$29.98	$64.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $216.03 / $443.34	Professional		$85.28	$216.03	$443.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $77.67 / $78.26	Professional		$77.67	$77.67	$78.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $291.92 / $586.47	Professional		$144.18	$291.92	$586.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $530.00 / $975.74	Facility		$323.44	$530.00	$975.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $249.83 / $549.20	Professional		$117.05	$249.83	$549.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.62 / $262.64 / $532.00	Facility		$86.62	$262.64	$532.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $396.00 / $474.00	Professional		$324.64	$396.00	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.30 / $356.00 / $576.90	Professional		$267.30	$356.00	$576.90
United Facility/Professional Facility Modifier Low / Median / High Price $393.00 / $650.00 / $4,824.00	Facility		$393.00	$650.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $273.77 / $605.23	Professional		$198.60	$273.77	$605.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $595.14 / $595.14 / $12,000.00	Facility		$595.14	$595.14	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $344.97 / $344.97 / $344.97	Facility	52	$344.97	$344.97	$344.97
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $86.24 / $86.24 / $86.24	Facility	53	$86.24	$86.24	$86.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $1,863.52 / $2,193.75	Professional		$1,213.00	$1,863.52	$2,193.75