Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $729.17 / $829.12	Facility		$91.26	$729.17	$829.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.65 / $82.29 / $801.00	Facility	52	$37.65	$82.29	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $164.57 / $464.56	Professional		$75.30	$164.57	$464.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $159.72 / $236.99	Professional		$107.79	$159.72	$236.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $208.34 / $514.47	Professional		$70.98	$208.34	$514.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Facility		$124.64	$124.64	$124.64
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $190.98 / $424.45	Professional		$94.90	$190.98	$424.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $189.26 / $401.32	Facility		$75.30	$189.26	$401.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $227.00 / $256.00	Professional		$150.00	$227.00	$256.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $228.84 / $328.70	Professional		$105.34	$228.84	$328.70
United Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $223.97 / $412.22	Professional		$154.94	$223.97	$412.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $436.00 / $436.00 / $744.06	Facility		$436.00	$436.00	$744.06
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $298.22 / $298.22 / $298.22	Facility	52	$298.22	$298.22	$298.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $809.00 / $1,861.06 / $1,861.06	Professional		$809.00	$1,861.06	$1,861.06