Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.36 / $3,729.45 / $6,365.60	Facility		$379.36	$3,729.45	$6,365.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.94 / $162.40 / $492.02	Facility	52	$97.94	$162.40	$492.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $347.41 / $1,146.88	Professional		$195.87	$347.41	$1,146.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $301.29 / $369.94	Professional		$183.84	$301.29	$369.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.70 / $843.36 / $1,431.16	Facility		$766.70	$843.36	$1,431.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.68 / $578.08 / $1,102.74	Professional		$328.68	$578.08	$1,102.74
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 $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.42 / $458.07 / $1,360.85	Professional		$276.42	$458.07	$1,360.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.87 / $390.00 / $833.36	Facility		$195.87	$390.00	$833.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $556.00 / $836.00	Professional		$507.00	$556.00	$836.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.55 / $401.50 / $1,394.60	Professional		$281.55	$401.50	$1,394.60
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,179.00 / $4,877.00	Facility		$400.00	$1,179.00	$4,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $654.27 / $1,531.31	Professional		$279.95	$654.27	$1,531.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,351.50 / $1,351.50 / $16,394.00	Facility		$1,351.50	$1,351.50	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $777.78 / $777.78 / $777.78	Facility	52	$777.78	$777.78	$777.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,271.42 / $4,354.72 / $5,096.78	Professional		$2,271.42	$4,354.72	$5,096.78