Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.85 / $1,523.66 / $6,207.27	Facility		$237.85	$1,523.66	$6,207.27
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $39.28 / $118.93 / $334.87	Facility	52	$39.28	$118.93	$334.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.71 / $38.39 / $50.86	Facility	53	$15.71	$38.39	$50.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $208.22 / $525.99	Professional		$75.48	$208.22	$525.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.28 / $98.39 / $144.41	Professional	52	$39.28	$98.39	$144.41
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $15.71 / $47.57 / $66.66	Professional	53	$15.71	$47.57	$66.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.49 / $278.17 / $346.36	Professional		$110.49	$278.17	$346.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $367.54 / $521.28	Professional		$159.91	$367.54	$521.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $247.90 / $487.17	Professional		$127.45	$247.90	$487.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $237.85 / $462.66	Facility		$78.56	$237.85	$462.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $275.83 / $523.57	Professional		$275.83	$275.83	$523.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,854.58 / $1,854.58 / $1,854.58	Facility		$1,854.58	$1,854.58	$1,854.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $262.00 / $661.00	Professional		$3.00	$262.00	$661.00
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,155.00 / $3,348.00	Facility		$905.00	$2,155.00	$3,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.87 / $275.91 / $638.90	Professional		$197.87	$275.91	$638.90
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $388.79 / $388.79 / $12,000.00	Facility		$388.79	$388.79	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $311.02 / $311.02 / $311.02	Facility	52	$311.02	$311.02	$311.02
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $77.76 / $77.76 / $77.76	Facility	53	$77.76	$77.76	$77.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $846.46 / $1,582.80 / $1,848.00	Professional		$846.46	$1,582.80	$1,848.00