Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,513.56 / $5,623.41	Facility		$338.84	$1,513.56	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $630.96 / $1,380.38	Professional		$251.19	$630.96	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $346.74	Professional		$213.80	$257.04	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $933.25 / $1,862.09	Professional		$389.05	$933.25	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,023.29	Facility		$457.09	$645.65	$1,023.29
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	53	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $645.65 / $1,348.96	Professional		$323.59	$645.65	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $660.69 / $1,122.02	Facility		$263.03	$660.69	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,715.35	Facility		$2,454.71	$2,454.71	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $933.25 / $1,548.82	Professional		$363.08	$933.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,778.28 / $5,888.44	Facility		$398.11	$1,778.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $1,023.29	Professional		$263.03	$562.34	$1,023.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $28,840.32	Facility		$3,630.78	$3,630.78	$28,840.32
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	53	$724.44	$724.44	$724.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,495.41	Professional		$4,677.35	$4,677.35	$5,495.41