Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $642.38 / $974.75	Facility		$55.35	$642.38	$974.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $559.50 / $764.80 / $1,284.76	Facility	50	$559.50	$764.80	$1,284.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $56.05 / $149.41	Professional		$35.64	$56.05	$149.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $61.58 / $144.29	Professional		$61.58	$61.58	$144.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.10 / $40.10 / $40.68	Facility		$40.10	$40.10	$40.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $78.70 / $131.72	Professional		$46.36	$78.70	$131.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $46.63 / $395.75	Facility		$46.63	$46.63	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $69.11 / $115.85	Professional		$41.67	$69.11	$115.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $64.39 / $95.18	Facility		$37.26	$64.39	$95.18
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $96.59 / $129.00 / $154.26	Facility	50	$96.59	$129.00	$154.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $68.00 / $68.00	Professional		$64.39	$68.00	$68.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $65.66 / $91.94	Professional		$48.01	$65.66	$91.94
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 $45.90 / $68.03 / $134.07	Professional		$45.90	$68.03	$134.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $179.12 / $2,500.00	Facility		$98.40	$179.12	$2,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $564.28 / $632.14	Professional		$295.00	$564.28	$632.14