Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,057.45 / $8,654.28 / $12,194.97	Facility		$4,057.45	$8,654.28	$12,194.97
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $354.15 / $559.75 / $7,358.18	Facility	52	$354.15	$559.75	$7,358.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,901.59 / $3,191.74 / $5,416.29	Facility		$2,901.59	$3,191.74	$5,416.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $3,328.21 / $11,676.00	Facility		$606.10	$3,328.21	$11,676.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $708.29 / $949.52 / $1,390.37	Facility		$708.29	$949.52	$1,390.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $184.05 / $256.58 / $278.49	Facility	80	$184.05	$256.58	$278.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.50 / $173.66 / $194.60	Facility	AS	$114.50	$173.66	$194.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $14,717.16 / $14,717.16 / $19,672.59	Facility		$14,717.16	$14,717.16	$19,672.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,717.00 / $2,500.00 / $18,665.00	Facility		$1,717.00	$2,500.00	$18,665.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,389.76 / $16,223.75 / $16,223.75	Facility		$5,389.76	$16,223.75	$16,223.75
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $1,270.22 / $12,302.24 / $12,302.24	Facility	52	$1,270.22	$12,302.24	$12,302.24
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $158.78 / $1,537.78 / $1,537.78	Facility	AS	$158.78	$1,537.78	$1,537.78