Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.57 / $2,028.86 / $4,843.29	Facility		$591.57	$2,028.86	$4,843.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.88 / $134.03 / $260.80	Facility	52	$80.88	$134.03	$260.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $333.23 / $760.37	Professional		$161.75	$333.23	$760.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $226.30 / $288.47	Professional		$137.68	$226.30	$288.47
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 $210.86 / $436.12 / $735.70	Professional		$210.86	$436.12	$735.70
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 $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $355.90 / $872.99	Professional		$205.34	$355.90	$872.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $323.73 / $566.08	Facility		$161.76	$323.73	$566.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $383.51 / $530.00 / $635.00	Professional		$383.51	$530.00	$635.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.22 / $409.43 / $1,003.50	Professional		$189.22	$409.43	$1,003.50
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 $184.23 / $391.54 / $1,066.19	Professional		$184.23	$391.54	$1,066.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,120.56 / $1,120.56 / $16,394.00	Facility		$1,120.56	$1,120.56	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $645.39 / $645.39 / $645.39	Facility	52	$645.39	$645.39	$645.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,528.93 / $2,916.88 / $3,408.38	Professional		$1,528.93	$2,916.88	$3,408.38