Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.29 / $2,421.03 / $5,177.00	Facility		$173.29	$2,421.03	$5,177.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.76 / $57.80 / $189.37	Facility	52	$34.76	$57.80	$189.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.90 / $23.12 / $75.75	Facility	53	$13.90	$23.12	$75.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $171.31 / $602.50	Professional		$68.54	$171.31	$602.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $97.20 / $274.68	Professional		$60.40	$97.20	$274.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.50 / $414.15 / $702.80	Facility		$376.50	$414.15	$702.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $266.74 / $493.76	Professional		$106.21	$266.74	$493.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $530.00 / $948.75	Facility		$323.44	$530.00	$948.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $195.34 / $558.25	Professional		$84.65	$195.34	$558.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $207.58 / $382.70	Facility		$69.76	$207.58	$382.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $258.55 / $396.00 / $480.80	Professional		$258.55	$396.00	$480.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,473.40 / $2,473.40 / $2,473.40	Facility		$2,473.40	$2,473.40	$2,473.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $170.70 / $636.79	Professional		$112.54	$170.70	$636.79
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 $160.15 / $268.47 / $583.89	Professional		$160.15	$268.47	$583.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $411.30 / $411.30 / $12,000.00	Facility		$411.30	$411.30	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $287.27 / $287.27 / $287.27	Facility	52	$287.27	$287.27	$287.27
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $71.81 / $71.81 / $71.81	Facility	53	$71.81	$71.81	$71.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,049.33 / $2,011.44 / $2,370.00	Professional		$1,049.33	$2,011.44	$2,370.00