Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $152.63 / $287.00	Facility		$61.05	$152.63	$287.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.31 / $82.83 / $143.50	Facility	52	$76.31	$82.83	$143.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $36.99 / $80.98	Professional		$30.23	$36.99	$80.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.18 / $18.19 / $25.08	Professional	52	$15.18	$18.19	$25.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $47.59 / $74.45	Professional		$31.54	$47.59	$74.45
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $7.89 / $8.46 / $16.23	Professional	52	$7.89	$8.46	$16.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $40.70 / $90.44	Professional		$29.72	$40.70	$90.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $51.38 / $51.38	Facility		$51.38	$51.38	$51.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.10 / $41.10 / $41.10	Facility	52	$41.10	$41.10	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $53.28 / $104.56	Professional		$31.79	$53.28	$104.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $38.22 / $66.38	Facility		$28.91	$38.22	$66.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $48.89 / $58.03	Professional		$39.53	$48.89	$58.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $37.03 / $71.36	Professional		$26.12	$37.03	$71.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $158.69 / $158.69	Facility		$66.50	$158.69	$158.69
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $44.02 / $126.96 / $126.96	Facility	52	$44.02	$126.96	$126.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $287.61 / $296.02	Professional		$202.03	$287.61	$296.02