Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.54 / $325.67 / $854.45	Facility		$59.54	$325.67	$854.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5.88 / $18.41 / $43.34	Facility	52	$5.88	$18.41	$43.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $36.81 / $119.00	Professional		$11.30	$36.81	$119.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.53 / $15.27 / $22.12	Professional	52	$5.53	$15.27	$22.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $52.43 / $58.17	Professional		$16.23	$52.43	$58.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $62.80 / $99.20	Professional		$19.69	$62.80	$99.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $41.88 / $89.48	Professional		$13.96	$41.88	$89.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $37.90 / $57.84	Facility		$11.76	$37.90	$57.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $46.09 / $135.46	Professional		$35.90	$46.09	$135.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.19 / $1,330.19 / $4,795.60	Facility		$1,330.19	$1,330.19	$4,795.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $54.20 / $102.30	Professional		$15.90	$54.20	$102.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $52.36 / $98.95	Professional		$37.89	$52.36	$98.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $57.05	Facility		$57.05	$57.05	$57.05
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $45.64 / $45.64 / $45.64	Facility	52	$45.64	$45.64	$45.64
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $243.34 / $304.80	Professional		$74.08	$243.34	$304.80