Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.30 / $2,887.06 / $5,681.00	Facility		$492.30	$2,887.06	$5,681.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.78 / $105.28 / $197.08	Facility	52	$59.78	$105.28	$197.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.91 / $42.11 / $78.83	Facility	53	$23.91	$42.11	$78.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $258.25 / $602.50	Professional		$116.97	$258.25	$602.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $192.63 / $532.04	Professional		$78.06	$192.63	$532.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.69 / $397.27 / $802.55	Professional		$201.69	$397.27	$802.55
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 $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $325.00 / $628.01	Professional		$157.13	$325.00	$628.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $344.83 / $507.98	Facility		$121.95	$344.83	$507.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $365.55 / $396.00 / $525.00	Professional		$365.55	$396.00	$525.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,207.96 / $2,412.30 / $10,444.78	Facility		$2,207.96	$2,412.30	$10,444.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $333.10 / $649.89	Professional		$140.97	$333.10	$649.89
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 $252.99 / $342.00 / $709.09	Professional		$252.99	$342.00	$709.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $830.82 / $830.82 / $12,000.00	Facility		$830.82	$830.82	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $479.90 / $479.90 / $479.90	Facility	52	$479.90	$479.90	$479.90
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $119.98 / $119.98 / $119.98	Facility	53	$119.98	$119.98	$119.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,213.00 / $2,049.19 / $2,396.63	Professional		$1,213.00	$2,049.19	$2,396.63