Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.77 / $2,225.75 / $6,915.00	Facility		$551.77	$2,225.75	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $67.34 / $124.45 / $254.44	Facility	52	$67.34	$124.45	$254.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.94 / $49.78 / $101.78	Facility	53	$26.94	$49.78	$101.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $212.79 / $738.66	Professional		$64.83	$212.79	$738.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $220.64 / $678.67	Professional		$94.33	$220.64	$678.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.52 / $562.66 / $954.83	Facility		$511.52	$562.66	$954.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $513.59 / $925.29	Professional		$226.94	$513.59	$925.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $585.73 / $975.74	Facility		$453.24	$585.73	$975.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $379.22 / $803.50	Professional		$185.13	$379.22	$803.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.72 / $424.78 / $629.03	Facility		$138.72	$424.78	$629.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $530.00 / $690.00	Professional		$425.01	$530.00	$690.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $394.05 / $836.72	Professional		$157.62	$394.05	$836.72
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 $276.10 / $408.04 / $864.77	Professional		$276.10	$408.04	$864.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $934.14 / $934.14 / $16,394.00	Facility		$934.14	$934.14	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $539.10 / $539.10 / $539.10	Facility	52	$539.10	$539.10	$539.10
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $134.78 / $134.78 / $134.78	Facility	53	$134.78	$134.78	$134.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,406.00 / $2,649.44 / $3,098.78	Professional		$1,406.00	$2,649.44	$3,098.78