Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.33 / $479.91 / $2,686.79	Facility		$262.33	$479.91	$2,686.79
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $18.21 / $113.27 / $239.96	Facility	52	$18.21	$113.27	$239.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $201.01 / $443.51	Professional		$35.07	$201.01	$443.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $51.96 / $51.96	Professional		$51.96	$51.96	$51.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.82 / $196.70 / $333.79	Facility		$178.82	$196.70	$333.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $297.41 / $585.83	Professional		$61.34	$297.41	$585.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $221.50 / $575.00	Facility		$127.43	$221.50	$575.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $242.79 / $487.06	Professional		$47.35	$242.79	$487.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $226.54 / $297.70	Facility		$36.42	$226.54	$297.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $165.82 / $569.53	Professional		$126.74	$165.82	$569.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $275.30 / $505.70	Professional		$52.45	$275.30	$505.70
United Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $361.00 / $1,219.00	Facility		$67.00	$361.00	$1,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.09 / $272.42 / $535.65	Professional		$200.09	$272.42	$535.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $209.80 / $209.80	Facility		$55.00	$209.80	$209.80
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $141.06 / $141.06 / $141.06	Facility	52	$141.06	$141.06	$141.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $804.40 / $1,565.68 / $1,857.90	Professional		$804.40	$1,565.68	$1,857.90