Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.56 / $927.54 / $8,558.64	Facility		$211.56	$927.54	$8,558.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $21.48 / $105.78 / $833.15	Facility	52	$21.48	$105.78	$833.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $203.87 / $415.97	Professional		$42.96	$203.87	$415.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $56.78 / $307.06	Professional		$37.88	$56.78	$307.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $311.63 / $533.20	Professional		$72.51	$311.63	$533.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $191.02 / $488.63	Professional		$52.62	$191.02	$488.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $232.72 / $399.22	Facility		$47.26	$232.72	$399.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $282.00	Professional		$231.00	$231.00	$282.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $190.67 / $383.20	Professional		$41.48	$190.67	$383.20
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.83 / $278.47 / $568.15	Professional		$185.83	$278.47	$568.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $373.86 / $373.86	Facility		$55.00	$373.86	$373.86
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $228.34 / $228.34 / $228.34	Facility	52	$228.34	$228.34	$228.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $759.14 / $2,111.16 / $2,111.16	Professional		$759.14	$2,111.16	$2,111.16