Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,698.24 / $5,754.40	Facility		$269.15	$1,698.24	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $1,778.28	Professional		$131.83	$323.59	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $1,122.02	Professional		$117.49	$194.98	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $1,023.29	Facility		$794.33	$912.01	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $426.58 / $1,949.84	Professional		$181.97	$426.58	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $1,479.11	Facility		$457.09	$812.83	$1,479.11
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $2,137.96	Professional		$181.97	$331.13	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $1,698.24	Facility		$151.36	$288.40	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $2,454.71	Professional		$213.80	$407.38	$2,454.71
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 $144.54 / $257.04 / $1,513.56	Professional		$144.54	$257.04	$1,513.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $28,840.32	Facility		$4,897.79	$4,897.79	$28,840.32
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	53	$977.24	$977.24	$977.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $8,709.64	Professional		$7,413.10	$7,413.10	$8,709.64