Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $143.10 / $5,449.00	Facility		$64.06	$143.10	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $105.95 / $232.50	Professional		$64.06	$105.95	$232.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.02 / $41.12 / $54.84	Professional	52	$30.02	$41.12	$54.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $93.74 / $152.06	Professional		$79.68	$93.74	$152.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $112.64 / $205.26	Professional		$61.74	$112.64	$205.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $106.52 / $226.26	Professional		$62.98	$106.52	$226.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $109.67 / $157.19	Facility		$64.06	$109.67	$157.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $196.04 / $196.04 / $196.04	Professional	50	$196.04	$196.04	$196.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $104.61 / $175.51	Professional		$63.77	$104.61	$175.51
United Facility/Professional Facility Modifier Low / Median / High Price $153.88 / $874.00 / $2,229.00	Facility		$153.88	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $107.66 / $283.64	Professional		$81.94	$107.66	$283.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $362.43 / $362.43	Facility		$55.00	$362.43	$362.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $818.56 / $951.75	Professional		$506.00	$818.56	$951.75