Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.52 / $4,744.14 / $8,458.20	Facility		$454.52	$4,744.14	$8,458.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $81.13 / $130.49 / $457.58	Facility	53	$81.13	$130.49	$457.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $669.69 / $3,030.94	Professional		$383.36	$669.69	$3,030.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,232.23 / $2,232.23 / $2,232.23	Professional		$2,232.23	$2,232.23	$2,232.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.94 / $917.33 / $3,573.70	Professional		$516.94	$917.33	$3,573.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $8,726.00	Facility		$530.04	$530.04	$8,726.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.25 / $845.18 / $3,912.31	Professional		$474.25	$845.18	$3,912.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $405.67 / $627.08 / $2,745.48	Facility		$405.67	$627.08	$2,745.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $1,620.00 / $2,823.00	Professional		$507.00	$1,620.00	$2,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,125.59 / $2,957.30	Professional		$5.00	$1,125.59	$2,957.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,330.89 / $2,053.10 / $4,200.05	Professional		$1,330.89	$2,053.10	$4,200.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,017.06 / $4,017.06 / $20,000.00	Facility		$4,017.06	$4,017.06	$20,000.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $214.13 / $411.81 / $411.81	Facility	53	$214.13	$411.81	$411.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $8,158.54 / $15,741.12 / $18,523.80	Professional		$8,158.54	$15,741.12	$18,523.80