Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,019.95 / $7,413.10	Facility		$467.74	$3,019.95	$7,413.10
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	22	$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $977.24	Professional		$316.23	$467.74	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $660.69	Professional		$275.42	$380.19	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $776.25 / $870.96	Facility		$676.08	$776.25	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,023.29	Professional		$407.38	$616.60	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $2,344.23	Facility		$501.19	$812.83	$2,344.23
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	22	$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	52	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	53	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $912.01	Professional		$316.23	$501.19	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $645.65	Facility		$302.00	$389.05	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $7,413.10	Facility		$3,981.07	$3,981.07	$7,413.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $512.86 / $831.76	Professional		$3.98	$512.86	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,041.74 / $5,888.44	Facility		$398.11	$2,041.74	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $676.08	Professional		$288.40	$389.05	$676.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $7,943.28 / $7,943.28	Facility		$56.23	$7,943.28	$7,943.28
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	52	$6,309.57	$6,309.57	$6,309.57
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	53	$1,584.89	$1,584.89	$1,584.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,691.53	Professional		$2,398.83	$2,398.83	$2,691.53