Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $903.00 / $7,362.00	Facility		$60.56	$903.00	$7,362.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.28 / $45.86 / $66.77	Facility	52	$30.28	$45.86	$66.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $61.01 / $129.19	Professional		$60.56	$61.01	$129.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $575.08 / $583.47	Facility		$575.08	$575.08	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $219.38 / $354.88	Professional		$120.20	$219.38	$354.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $156.69 / $248.82	Professional		$77.15	$156.69	$248.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $117.28 / $271.44	Facility		$60.56	$117.28	$271.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $105.00 / $112.49	Professional		$83.00	$105.00	$112.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $96.99 / $115.09	Professional		$60.10	$96.99	$115.09
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 $56.20 / $118.09 / $231.91	Professional		$56.20	$118.09	$231.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,366.16 / $2,710.90	Facility		$55.00	$2,366.16	$2,710.90
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $157.69 / $1,235.85 / $2,055.60	Facility	52	$157.69	$1,235.85	$2,055.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,398.72 / $1,398.72 / $1,398.72	Professional		$1,398.72	$1,398.72	$1,398.72