Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $2,366.69 / $5,276.67	Facility		$183.77	$2,366.69	$5,276.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.18 / $91.89 / $127.68	Facility	52	$27.18	$91.89	$127.68
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.87 / $17.93 / $49.41	Facility	53	$10.87	$17.93	$49.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $122.21 / $348.02	Professional		$54.35	$122.21	$348.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $76.11 / $362.20	Professional		$47.44	$76.11	$362.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $206.49 / $381.82	Professional		$83.41	$206.49	$381.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $252.15 / $475.00	Facility		$145.07	$252.15	$475.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $155.47 / $378.55	Professional		$69.47	$155.47	$378.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $161.04 / $259.64	Facility		$54.99	$161.04	$259.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $209.00 / $525.00	Professional		$118.24	$209.00	$525.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,405.71 / $2,405.71 / $2,405.71	Facility		$2,405.71	$2,405.71	$2,405.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $171.90 / $457.77	Professional		$68.76	$171.90	$457.77
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,912.00	Facility		$226.00	$475.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $181.97 / $414.93	Professional		$124.67	$181.97	$414.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $2,922.50 / $11,500.00	Facility		$323.70	$2,922.50	$11,500.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $227.20 / $227.20 / $227.20	Facility	52	$227.20	$227.20	$227.20
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $56.80 / $56.80 / $56.80	Facility	53	$56.80	$56.80	$56.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $697.67 / $1,331.20 / $1,570.43	Professional		$697.67	$1,331.20	$1,570.43