Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.62 / $6,577.80 / $10,370.70	Facility		$998.62	$6,577.80	$10,370.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $130.94 / $130.94 / $202.96	Facility	53	$130.94	$130.94	$202.96
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $491.03 / $491.03 / $761.09	Facility	54	$491.03	$491.03	$761.09
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $98.21 / $98.21 / $152.22	Facility	55	$98.21	$98.21	$152.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.66 / $654.70 / $1,149.95	Professional		$609.66	$654.70	$1,149.95
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.21 / $98.21 / $140.43	Professional	55	$95.21	$98.21	$140.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,092.25 / $1,092.25 / $1,092.25	Professional		$1,092.25	$1,092.25	$1,092.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.96 / $915.90 / $2,106.50	Professional		$753.96	$915.90	$2,106.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $889.04 / $2,055.83	Professional		$635.89	$889.04	$2,055.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $635.82 / $850.55 / $898.48	Facility		$635.82	$850.55	$898.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $898.48 / $898.48 / $898.48	Professional		$898.48	$898.48	$898.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $723.50 / $818.11 / $1,065.63	Professional		$723.50	$818.11	$1,065.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,293.00 / $11,617.00 / $17,964.00	Facility		$5,293.00	$11,617.00	$17,964.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.08 / $819.69 / $1,678.48	Professional		$635.08	$819.69	$1,678.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,325.00	Facility		$55.00	$55.00	$21,325.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $314.68 / $353.55 / $4,042.62	Facility	53	$314.68	$353.55	$4,042.62
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,101.39 / $1,237.43 / $14,149.17	Facility	54	$1,101.39	$1,237.43	$14,149.17
Wellcare Facility/Professional Facility Modifier 55 Low / Median / High Price $236.01 / $265.16 / $3,031.96	Facility	55	$236.01	$265.16	$3,031.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,949.35 / $5,600.48 / $5,600.48	Professional		$4,949.35	$5,600.48	$5,600.48