Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.54 / $1,883.14 / $2,903.00	Facility		$355.54	$1,883.14	$2,903.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.44 / $31.87 / $72.77	Facility	53	$19.44	$31.87	$72.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $238.18 / $566.63	Professional		$94.11	$238.18	$566.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $373.20 / $373.20	Professional		$373.20	$373.20	$373.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $387.06 / $630.35	Professional		$164.32	$387.06	$630.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $638.03	Facility		$606.10	$606.10	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $274.74 / $544.29	Professional		$125.12	$274.74	$544.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $259.67 / $328.41	Facility		$97.22	$259.67	$328.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $301.00 / $328.41	Professional		$301.00	$301.00	$328.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,803.26 / $1,803.26 / $1,803.26	Facility		$1,803.26	$1,803.26	$1,803.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $338.70 / $422.91	Professional		$141.63	$338.70	$422.91
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 $218.36 / $331.49 / $610.65	Professional		$218.36	$331.49	$610.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $489.68 / $489.68	Facility		$55.00	$489.68	$489.68
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $51.32 / $97.94 / $97.94	Facility	53	$51.32	$97.94	$97.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $953.50 / $1,837.52 / $2,134.42	Professional		$953.50	$1,837.52	$2,134.42