Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.12 / $1,245.00 / $6,180.40	Facility		$555.12	$1,245.00	$6,180.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.60 / $141.40 / $408.60	Facility	52	$85.60	$141.40	$408.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.19 / $352.04 / $977.00	Professional		$171.19	$352.04	$977.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.93 / $239.86 / $321.70	Professional		$145.93	$239.86	$321.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $392.66 / $1,045.46	Professional		$208.47	$392.66	$1,045.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $842.52 / $1,675.01	Facility		$453.24	$842.52	$1,675.01
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $380.69 / $1,290.53	Professional		$207.07	$380.69	$1,290.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $349.11 / $948.00	Facility		$171.20	$349.11	$948.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $556.00 / $793.00	Professional		$507.00	$556.00	$793.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.64 / $452.73 / $1,421.17	Professional		$202.64	$452.73	$1,421.17
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 $184.98 / $586.76 / $1,368.04	Professional		$184.98	$586.76	$1,368.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,188.72 / $1,188.72 / $16,394.00	Facility		$1,188.72	$1,188.72	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $682.37 / $682.37 / $682.37	Facility	52	$682.37	$682.37	$682.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,166.58 / $4,122.24 / $4,857.08	Professional		$2,166.58	$4,122.24	$4,857.08