Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.98 / $1,780.24 / $4,376.00	Facility		$418.98	$1,780.24	$4,376.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.66 / $241.16 / $534.48	Facility	52	$126.66	$241.16	$534.48
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.66 / $96.47 / $213.79	Facility	53	$50.66	$96.47	$213.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.32 / $579.14 / $1,074.67	Professional		$253.32	$579.14	$1,074.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.93 / $1,017.85 / $1,380.43	Professional		$241.93	$1,017.85	$1,380.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $935.93 / $1,792.53	Professional		$424.03	$935.93	$1,792.53
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 $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $688.96 / $1,482.50	Professional		$356.58	$688.96	$1,482.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.01 / $737.89 / $1,091.96	Facility		$256.01	$737.89	$1,091.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $535.00 / $904.00	Professional		$450.00	$535.00	$904.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,467.48 / $2,467.48 / $2,467.48	Facility		$2,467.48	$2,467.48	$2,467.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.26 / $703.90 / $1,466.80	Professional		$289.26	$703.90	$1,466.80
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 $557.12 / $773.29 / $1,674.99	Professional		$557.12	$773.29	$1,674.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,452.35 / $1,452.35 / $16,394.00	Facility		$1,452.35	$1,452.35	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,001.00 / $1,001.00 / $1,001.00	Facility	52	$1,001.00	$1,001.00	$1,001.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $250.25 / $250.25 / $250.25	Facility	53	$250.25	$250.25	$250.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,437.02 / $4,654.56 / $5,434.43	Professional		$2,437.02	$4,654.56	$5,434.43