Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,691.53 / $6,025.60	Facility		$436.52	$2,691.53	$6,025.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $436.52 / $436.52 / $977.24	Facility	52	$436.52	$436.52	$977.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $89.13 / $169.82 / $363.08	Facility	53	$89.13	$169.82	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $977.24	Professional		$177.83	$354.81	$977.24
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $81.28 / $158.49 / $338.84	Professional	53	$81.28	$158.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $346.74	Professional		$147.91	$199.53	$346.74
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $93.33 / $169.82	Professional	53	$64.57	$93.33	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $933.25	Professional		$281.84	$562.34	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $812.83	Facility		$457.09	$575.44	$812.83
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	22	$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	52	$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	53	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $741.31	Professional		$229.09	$407.38	$741.31
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $125.89 / $177.83 / $323.59	Professional	53	$125.89	$177.83	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Medcost Facility/Professional Professional Modifier 53 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	53	$194.98	$194.98	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $645.65	Facility		$186.21	$363.08	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Medcost Facility/Professional Professional Modifier 53 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	53	$478.63	$478.63	$478.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,715.35	Facility		$1,230.27	$1,230.27	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $478.63 / $812.83	Professional		$144.54	$478.63	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,737.80 / $5,370.32	Facility		$398.11	$1,737.80	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $575.44	Professional		$181.97	$316.23	$575.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $28,840.32	Facility		$2,754.23	$2,754.23	$28,840.32
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 $2,818.38 / $2,884.03 / $2,884.03	Professional		$2,818.38	$2,884.03	$2,884.03