Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.86 / $512.04 / $5,864.95	Facility		$207.86	$512.04	$5,864.95
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $133.74 / $155.90 / $239.66	Facility	54	$133.74	$155.90	$239.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.55 / $207.86 / $503.02	Professional		$153.55	$207.86	$503.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $196.15 / $349.84	Professional		$188.03	$196.15	$349.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $233.90 / $431.57	Professional		$168.14	$233.90	$431.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $232.25 / $460.86	Professional		$179.81	$232.25	$460.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.32 / $224.49 / $299.58	Facility		$178.32	$224.49	$299.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.48 / $225.48 / $225.48	Professional		$225.48	$225.48	$225.48
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $338.22 / $338.22 / $338.22	Professional	50	$338.22	$338.22	$338.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,173.48 / $2,173.48 / $6,529.71	Facility		$2,173.48	$2,173.48	$6,529.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $215.85 / $336.55	Professional		$163.84	$215.85	$336.55
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $200.49 / $479.31	Professional		$154.86	$200.49	$479.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $939.55 / $939.55	Facility		$55.00	$939.55	$939.55
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $657.69 / $657.69 / $657.69	Facility	54	$657.69	$657.69	$657.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,342.08 / $1,552.00 / $1,797.30	Professional		$1,342.08	$1,552.00	$1,797.30