Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.10 / $1,249.55 / $5,177.00	Facility		$139.10	$1,249.55	$5,177.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.55 / $27.84 / $57.67	Facility	53	$16.55	$27.84	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $190.39 / $455.82	Professional		$82.80	$190.39	$455.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $171.72 / $484.88	Professional		$70.91	$171.72	$484.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $365.58 / $573.51	Professional		$153.94	$365.58	$573.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $229.06 / $478.80	Professional		$102.42	$229.06	$478.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.82 / $266.70 / $423.56	Facility		$90.82	$266.70	$423.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $235.00 / $416.00	Professional		$235.00	$235.00	$416.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $251.10 / $412.40	Professional		$27.40	$251.10	$412.40
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 $189.51 / $282.10 / $524.59	Professional		$189.51	$282.10	$524.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $404.80 / $404.80	Facility		$55.00	$404.80	$404.80
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $80.95 / $80.95 / $80.95	Facility	53	$80.95	$80.95	$80.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,088.00 / $1,537.05 / $1,604.71	Professional		$1,088.00	$1,537.05	$1,604.71