Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.48 / $3,027.62 / $6,896.25	Facility		$549.48	$3,027.62	$6,896.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $86.32 / $191.81 / $2,507.65	Facility	52	$86.32	$191.81	$2,507.65
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.53 / $57.08 / $104.26	Facility	53	$34.53	$57.08	$104.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $355.62 / $770.47	Professional		$172.63	$355.62	$770.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $241.60 / $693.96	Professional		$162.91	$241.60	$693.96
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 $246.30 / $394.97 / $755.55	Professional		$246.30	$394.97	$755.55
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 $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.20 / $370.58 / $824.22	Professional		$219.20	$370.58	$824.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.63 / $329.40 / $588.62	Facility		$172.63	$329.40	$588.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $383.51 / $530.00 / $690.00	Professional		$383.51	$530.00	$690.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.80 / $310.60 / $833.10	Professional		$251.80	$310.60	$833.10
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 $201.87 / $395.11 / $886.68	Professional		$201.87	$395.11	$886.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,190.22 / $1,190.22 / $16,394.00	Facility		$1,190.22	$1,190.22	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $684.69 / $684.69 / $684.69	Facility	52	$684.69	$684.69	$684.69
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $171.17 / $171.17 / $171.17	Facility	53	$171.17	$171.17	$171.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $2,720.72 / $3,176.25	Professional		$1,654.00	$2,720.72	$3,176.25