Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $431.10 / $1,638.00	Facility		$80.01	$431.10	$1,638.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $183.00 / $715.62 / $742.39	Facility	50	$183.00	$715.62	$742.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $81.08 / $193.65	Professional		$55.93	$81.08	$193.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.03 / $273.67 / $510.00	Professional	50	$120.03	$273.67	$510.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $85.10 / $131.16	Professional		$45.87	$85.10	$131.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $126.06 / $157.44 / $157.44	Professional	50	$126.06	$157.44	$157.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.83 / $52.83 / $53.60	Facility		$52.83	$52.83	$53.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $109.32 / $188.72	Professional		$68.73	$109.32	$188.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $77.73 / $395.75	Facility		$77.73	$77.73	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $98.58 / $173.63	Professional		$68.12	$98.58	$173.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $91.27 / $137.00	Facility		$56.61	$91.27	$137.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $117.00 / $166.50 / $225.26	Facility	50	$117.00	$166.50	$225.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $95.00 / $107.00	Professional		$91.27	$95.00	$107.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $136.91 / $136.91 / $136.91	Professional	50	$136.91	$136.91	$136.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $85.73 / $130.85	Professional		$68.77	$85.73	$130.85
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $95.42 / $189.25	Professional		$65.36	$95.42	$189.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $279.35 / $279.35	Facility		$55.00	$279.35	$279.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $408.88 / $632.14 / $703.20	Professional		$408.88	$632.14	$703.20