Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $273.89 / $3,707.00	Facility		$50.24	$273.89	$3,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $60.08 / $194.16	Professional		$38.61	$60.08	$194.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $75.77 / $109.95	Professional	50	$73.20	$75.77	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $66.70 / $94.10	Professional		$52.62	$66.70	$94.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $41.99 / $42.60	Facility		$41.99	$41.99	$42.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $83.21 / $143.52	Professional		$51.58	$83.21	$143.52
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 $49.10 / $72.86 / $128.88	Professional		$49.10	$72.86	$128.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $70.98 / $100.70	Facility		$39.22	$70.98	$100.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $75.00 / $75.00	Professional		$70.98	$75.00	$75.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $106.49 / $106.49 / $106.49	Professional	50	$106.49	$106.49	$106.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $68.59 / $101.38	Professional		$52.13	$68.59	$101.38
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 $47.88 / $67.56 / $135.44	Professional		$47.88	$67.56	$135.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $187.25 / $187.25	Facility		$55.00	$187.25	$187.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $418.88 / $480.53	Professional		$280.48	$418.88	$480.53