Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,905.46 / $5,370.32	Facility		$114.82	$1,905.46	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $173.78 / $630.96	Professional		$69.18	$173.78	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $512.86	Professional		$48.98	$83.18	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $501.19	Facility		$389.05	$446.68	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $524.81	Professional		$100.00	$245.47	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $794.33	Facility		$323.59	$524.81	$794.33
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	52	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $524.81	Professional		$83.18	$199.53	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $181.97 / $426.58	Facility		$70.79	$181.97	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,691.53	Facility		$2,454.71	$2,454.71	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $398.11 / $630.96	Professional		$102.33	$398.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $977.24 / $3,311.31	Facility		$251.19	$977.24	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $154.88 / $346.74	Professional		$67.61	$154.88	$346.74
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $19,498.45	Facility		$2,754.23	$2,754.23	$19,498.45
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	53	$549.54	$549.54	$549.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Professional		$1,995.26	$1,995.26	$2,344.23