Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.27 / $1,482.56 / $8,921.75	Facility		$835.27	$1,482.56	$8,921.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $810.76 / $1,431.01	Professional		$197.80	$810.76	$1,431.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.14 / $418.23 / $1,744.87	Professional		$327.14	$418.23	$1,744.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.70 / $843.36 / $1,431.16	Facility		$766.70	$843.36	$1,431.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.58 / $1,394.44 / $2,753.72	Professional		$334.58	$1,394.44	$2,753.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.41 / $887.89 / $1,675.01	Facility		$338.41	$887.89	$1,675.01
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.80 / $688.28 / $2,040.37	Professional		$258.80	$688.28	$2,040.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.80 / $918.80 / $1,652.67	Facility		$197.80	$918.80	$1,652.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $1,026.00 / $2,338.71	Professional		$570.11	$1,026.00	$2,338.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $284.30 / $1,300.09 / $2,225.90	Professional		$284.30	$1,300.09	$2,225.90
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 $881.75 / $1,239.50 / $2,327.46	Professional		$881.75	$1,239.50	$2,327.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,465.89 / $1,465.89	Facility		$55.00	$1,465.89	$1,465.89
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $782.61 / $782.61 / $782.61	Facility	52	$782.61	$782.61	$782.61
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $195.65 / $195.65 / $195.65	Facility	53	$195.65	$195.65	$195.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,976.58 / $6,102.84 / $6,714.23	Professional		$2,976.58	$6,102.84	$6,714.23