Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.59 / $840.00 / $7,362.00	Facility		$114.59	$840.00	$7,362.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.30 / $94.96 / $406.35	Facility	52	$57.30	$94.96	$406.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $286.18 / $803.75	Professional		$114.59	$286.18	$803.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $280.17 / $874.44	Professional		$161.15	$280.17	$874.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $307.86 / $729.28	Professional		$172.00	$307.86	$729.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $650.35 / $1,226.89	Facility		$323.44	$650.35	$1,226.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $265.16 / $1,120.07	Professional		$163.88	$265.16	$1,120.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.59 / $221.00 / $622.00	Facility		$114.59	$221.00	$622.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $415.00 / $690.00	Professional		$378.00	$415.00	$690.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $319.00 / $1,163.72	Professional		$134.69	$319.00	$1,163.72
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 $158.00 / $488.19 / $1,035.78	Professional		$158.00	$488.19	$1,035.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $662.80 / $662.80 / $12,000.00	Facility		$662.80	$662.80	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $459.95 / $459.95 / $459.95	Facility	52	$459.95	$459.95	$459.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,771.70 / $3,408.32 / $4,004.78	Professional		$1,771.70	$3,408.32	$4,004.78