Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.34 / $1,783.78 / $5,150.58	Facility		$482.34	$1,783.78	$5,150.58
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.83 / $262.14 / $820.00	Facility	52	$73.83	$262.14	$820.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.76 / $34.85 / $90.07	Facility	53	$20.76	$34.85	$90.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $279.00 / $631.42	Professional		$97.14	$279.00	$631.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $147.87 / $494.60	Professional		$75.83	$147.87	$494.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.27 / $366.60 / $622.10	Facility		$333.27	$366.60	$622.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $419.17 / $731.88	Professional		$174.51	$419.17	$731.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $585.73 / $975.74	Facility		$323.44	$585.73	$975.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $321.57 / $632.01	Professional		$137.41	$321.57	$632.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $303.58 / $444.25	Facility		$103.82	$303.58	$444.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $370.00 / $746.50	Professional		$253.68	$370.00	$746.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,207.96 / $2,207.96 / $2,626.86	Facility		$2,207.96	$2,207.96	$2,626.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.54 / $405.90 / $657.40	Professional		$149.54	$405.90	$657.40
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 $278.29 / $378.60 / $716.80	Professional		$278.29	$378.60	$716.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $599.65 / $599.65	Facility		$55.00	$599.65	$599.65
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $412.53 / $412.53 / $412.53	Facility	52	$412.53	$412.53	$412.53
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $103.13 / $103.13 / $103.13	Facility	53	$103.13	$103.13	$103.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,072.09 / $2,062.48 / $2,398.94	Professional		$1,072.09	$2,062.48	$2,398.94