Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $798.75 / $3,021.00	Facility		$123.36	$798.75	$3,021.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.37 / $61.77 / $1,011.78	Facility	52	$30.37	$61.77	$1,011.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $123.36 / $362.49	Professional		$60.72	$123.36	$362.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $97.41 / $270.57	Professional		$70.19	$97.41	$270.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $225.71 / $382.15	Professional		$108.88	$225.71	$382.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $638.03	Facility		$395.75	$395.75	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $170.02 / $311.27	Professional		$80.81	$170.02	$311.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $131.08 / $267.66	Facility		$61.94	$131.08	$267.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $196.00 / $400.00	Professional		$186.00	$196.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $192.60 / $428.10	Professional		$4.00	$192.60	$428.10
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $202.55 / $348.42	Professional		$124.65	$202.55	$348.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $360.40 / $426.05 / $12,000.00	Facility		$360.40	$426.05	$12,000.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $125.82 / $243.13 / $243.13	Facility	52	$125.82	$243.13	$243.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $1,179.81 / $1,242.38	Professional		$568.79	$1,179.81	$1,242.38