Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.17 / $3,456.39 / $7,240.65	Facility		$997.17	$3,456.39	$7,240.65
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $900.66 / $900.66 / $900.66	Facility	22	$900.66	$900.66	$900.66
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $162.19 / $259.82 / $383.83	Facility	52	$162.19	$259.82	$383.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $64.88 / $103.93 / $153.53	Facility	53	$64.88	$103.93	$153.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.83 / $472.50 / $752.72	Professional		$323.83	$472.50	$752.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $579.76 / $579.76	Professional		$310.05	$579.76	$579.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.41 / $714.35 / $1,212.23	Facility		$649.41	$714.35	$1,212.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.88 / $663.76 / $1,018.54	Professional		$459.88	$663.76	$1,018.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $1,362.98 / $2,709.73	Facility		$373.67	$1,362.98	$2,709.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.07 / $567.69 / $1,019.22	Professional		$345.07	$567.69	$1,019.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $476.21 / $563.94	Facility		$324.39	$476.21	$563.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $466.06 / $817.45	Professional		$350.00	$466.06	$817.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,382.34 / $7,382.34 / $7,382.34	Facility		$7,382.34	$7,382.34	$7,382.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.17 / $475.10 / $771.83	Professional		$341.17	$475.10	$771.83
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 $318.41 / $435.99 / $820.11	Professional		$318.41	$435.99	$820.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,502.30 / $7,929.30	Facility		$55.00	$1,502.30	$7,929.30
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $598.46 / $6,012.68 / $6,012.68	Facility	52	$598.46	$6,012.68	$6,012.68
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $149.61 / $1,503.17 / $1,503.17	Facility	53	$149.61	$1,503.17	$1,503.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,379.76 / $2,708.55 / $2,708.55	Professional		$2,379.76	$2,708.55	$2,708.55