Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.41 / $2,972.08 / $6,649.00	Facility		$623.41	$2,972.08	$6,649.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.76 / $217.23 / $327.84	Facility	52	$97.76	$217.23	$327.84
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.10 / $75.37 / $124.68	Facility	53	$39.10	$75.37	$124.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $415.13 / $921.00	Professional		$195.50	$415.13	$921.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.76 / $217.23 / $576.98	Professional	52	$97.76	$217.23	$576.98
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.10 / $84.91 / $170.10	Professional	53	$39.10	$84.91	$170.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $349.33 / $595.42	Professional		$183.07	$349.33	$595.42
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $44.20 / $44.54 / $50.76	Professional	52	$44.20	$44.54	$50.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $730.12 / $1,230.83	Professional		$329.53	$730.12	$1,230.83
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $769.77 / $769.77 / $769.77	Professional	52	$769.77	$769.77	$769.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $685.00 / $1,226.89	Facility		$453.24	$685.00	$1,226.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $509.82 / $932.49	Professional		$280.66	$509.82	$932.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.38 / $531.77 / $789.09	Facility		$201.38	$531.77	$789.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $486.00 / $534.00 / $690.00	Professional		$486.00	$534.00	$690.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,576.25 / $1,644.99 / $1,917.71	Facility		$1,576.25	$1,644.99	$1,917.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.58 / $505.78 / $979.39	Professional		$227.58	$505.78	$979.39
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 $393.99 / $533.48 / $1,017.90	Professional		$393.99	$533.48	$1,017.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,129.75 / $1,129.75 / $16,394.00	Facility		$1,129.75	$1,129.75	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $779.08 / $779.08 / $779.08	Facility	52	$779.08	$779.08	$779.08
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $194.77 / $194.77 / $194.77	Facility	53	$194.77	$194.77	$194.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,623.05 / $3,135.42 / $3,595.05	Professional		$1,623.05	$3,135.42	$3,595.05