Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $921.52 / $3,290.49	Facility		$195.50	$921.52	$3,290.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.76 / $178.93 / $298.13	Facility	52	$97.76	$178.93	$298.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.10 / $71.56 / $119.25	Facility	53	$39.10	$71.56	$119.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.12 / $350.55 / $719.43	Professional		$191.12	$350.55	$719.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $174.67 / $393.22	Professional		$83.30	$174.67	$393.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.09 / $623.79 / $1,058.57	Facility		$567.09	$623.79	$1,058.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $641.53 / $1,141.02	Professional		$329.53	$641.53	$1,141.02
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 $265.73 / $490.00 / $940.12	Professional		$265.73	$490.00	$940.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.51 / $513.36 / $718.45	Facility		$195.51	$513.36	$718.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $534.00 / $690.00	Professional		$450.00	$534.00	$690.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,635.08 / $5,635.08 / $5,635.08	Facility		$5,635.08	$5,635.08	$5,635.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.58 / $516.48 / $997.95	Professional		$227.58	$516.48	$997.95
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,179.00 / $4,824.00	Facility		$400.00	$1,179.00	$4,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.53 / $512.14 / $1,018.13	Professional		$385.53	$512.14	$1,018.13
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 $1,794.00 / $3,137.04 / $3,665.78	Professional		$1,794.00	$3,137.04	$3,665.78