Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.73 / $1,259.09 / $4,391.68	Facility		$445.73	$1,259.09	$4,391.68
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $619.48 / $619.48 / $619.48	Facility	52	$619.48	$619.48	$619.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $219.87 / $453.89	Professional		$82.51	$219.87	$453.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $176.78 / $348.74	Professional		$73.55	$176.78	$348.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $350.17 / $701.71	Professional		$153.56	$350.17	$701.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $264.13 / $611.95	Professional		$115.17	$264.13	$611.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $236.95 / $351.74	Facility		$86.02	$236.95	$351.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $302.00 / $351.74	Professional		$236.39	$302.00	$351.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $133.61 / $344.47	Professional		$4.00	$133.61	$344.47
United Facility/Professional Facility Modifier Low / Median / High Price $987.00 / $2,555.00 / $3,517.00	Facility		$987.00	$2,555.00	$3,517.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $362.24 / $619.95	Professional		$236.30	$362.24	$619.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $482.10 / $482.10	Facility		$55.00	$482.10	$482.10
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $174.79 / $329.08 / $329.08	Facility	52	$174.79	$329.08	$329.08
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $43.70 / $82.27 / $82.27	Facility	53	$43.70	$82.27	$82.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $620.48 / $692.33 / $1,832.25	Professional		$620.48	$692.33	$1,832.25