Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.04 / $1,718.17 / $5,855.80	Facility		$338.04	$1,718.17	$5,855.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.02 / $90.02 / $169.02	Facility	52	$90.02	$90.02	$169.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.28 / $104.24 / $197.43	Facility	53	$46.28	$104.24	$197.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $287.55 / $734.31	Professional		$169.56	$287.55	$734.31
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.01 / $90.02 / $194.49	Professional	53	$36.01	$90.02	$194.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $252.48 / $296.23	Professional		$169.68	$252.48	$296.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.36 / $553.69 / $939.60	Facility		$503.36	$553.69	$939.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $547.55 / $950.26	Professional		$302.95	$547.55	$950.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.24 / $569.54 / $948.75	Facility		$453.24	$569.54	$948.75
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $438.00	Professional		$301.45	$301.45	$438.00
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $132.78 / $170.55 / $215.17	Professional	53	$132.78	$170.55	$215.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $343.86 / $569.63	Facility		$180.03	$343.86	$569.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $530.00 / $635.00	Professional		$386.50	$530.00	$635.00
Medcost Facility/Professional Professional Modifier 53 Low / Median / High Price $410.06 / $410.06 / $476.77	Professional	53	$410.06	$410.06	$476.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,278.65 / $1,278.65 / $1,278.65	Facility		$1,278.65	$1,278.65	$1,278.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $281.77 / $589.04	Professional		$129.94	$281.77	$589.04
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,909.00	Facility		$226.00	$475.00	$2,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.43 / $430.03 / $911.48	Professional		$312.43	$430.03	$911.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,038.84 / $1,038.84 / $16,394.00	Facility		$1,038.84	$1,038.84	$16,394.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $716.72 / $716.72 / $716.72	Facility	52	$716.72	$716.72	$716.72
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $179.18 / $179.18 / $179.18	Facility	53	$179.18	$179.18	$179.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,182.00 / $2,206.53 / $2,836.73	Professional		$1,182.00	$2,206.53	$2,836.73