Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.35 / $596.50 / $1,648.80	Facility		$62.35	$596.50	$1,648.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $212.50 / $724.74 / $724.74	Facility	50	$212.50	$724.74	$724.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $63.68 / $192.93	Professional		$38.42	$63.68	$192.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $68.04 / $112.08 / $276.66	Professional	50	$68.04	$112.08	$276.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $58.83 / $96.07	Professional		$42.11	$58.83	$96.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $76.20 / $132.09 / $162.22	Professional	50	$76.20	$132.09	$162.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $83.92 / $140.77	Professional		$51.02	$83.92	$140.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $49.96 / $395.75	Facility		$49.96	$49.96	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $72.62 / $121.15	Professional		$47.00	$72.62	$121.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $70.00 / $105.86	Facility		$39.57	$70.00	$105.86
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $81.69 / $105.80 / $168.88	Facility	50	$81.69	$105.80	$168.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $75.00	Professional		$65.00	$65.00	$75.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $105.80 / $105.80 / $105.80	Professional	50	$105.80	$105.80	$105.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $70.73 / $101.07	Professional		$53.54	$70.73	$101.07
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 $46.73 / $70.43 / $132.15	Professional		$46.73	$70.43	$132.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $189.38 / $189.38	Facility		$55.00	$189.38	$189.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $488.55 / $632.14	Professional		$282.95	$488.55	$632.14