Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $7,079.46	Facility		$501.19	$2,238.72	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $239.88 / $851.14	Professional		$66.07	$239.88	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $478.63	Professional		$93.33	$151.36	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $691.83	Facility		$524.81	$616.60	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $912.01	Professional		$213.80	$501.19	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $851.14	Facility		$457.09	$588.84	$851.14
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $741.31	Professional		$173.78	$371.54	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $363.08 / $630.96	Facility		$141.25	$363.08	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $426.58 / $870.96	Professional		$194.98	$426.58	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $549.54	Professional		$138.04	$302.00	$549.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $28,840.32	Facility		$2,884.03	$2,884.03	$28,840.32
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	53	$575.44	$575.44	$575.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,090.30	Professional		$2,630.27	$2,630.27	$3,090.30