Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.50 / $2,665.87 / $5,332.90	Facility		$351.50	$2,665.87	$5,332.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.36 / $187.11 / $510.71	Facility	52	$109.36	$187.11	$510.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $547.46 / $1,218.34	Professional		$216.81	$547.46	$1,218.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $198.84 / $335.48	Professional		$105.11	$198.84	$335.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.21 / $885.73 / $1,875.73	Professional		$368.21	$885.73	$1,875.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $1,178.76 / $2,223.73	Facility		$377.53	$1,178.76	$2,223.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $695.98 / $1,585.35	Professional		$300.00	$695.98	$1,585.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.72 / $737.37 / $1,030.26	Facility		$218.72	$737.37	$1,030.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $607.75 / $836.00 / $1,009.00	Professional		$607.75	$836.00	$1,009.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $853.20 / $1,626.50	Professional		$391.73	$853.20	$1,626.50
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 $654.45 / $878.57 / $1,699.28	Professional		$654.45	$878.57	$1,699.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,514.10 / $1,514.10 / $3,598.00	Facility		$1,514.10	$1,514.10	$3,598.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $870.09 / $870.09 / $870.09	Facility	52	$870.09	$870.09	$870.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,647.15 / $5,068.16 / $5,941.05	Professional		$2,647.15	$5,068.16	$5,941.05