Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $674.76 / $2,588.50	Facility		$56.15	$674.76	$2,588.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $453.99 / $499.75 / $2,123.88	Facility	50	$453.99	$499.75	$2,123.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $55.07 / $143.00	Professional		$35.03	$55.07	$143.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.27 / $100.54 / $217.53	Professional	50	$50.27	$100.54	$217.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $60.02 / $86.50	Professional		$46.98	$60.02	$86.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $57.52 / $81.50 / $108.25	Professional	50	$57.52	$81.50	$108.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $77.91 / $130.69	Professional		$49.43	$77.91	$130.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $48.85 / $395.75	Facility		$48.85	$48.85	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $65.87 / $110.56	Professional		$45.19	$65.87	$110.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $66.25 / $96.32	Facility		$35.72	$66.25	$96.32
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $82.50 / $124.01 / $154.26	Facility	50	$82.50	$124.01	$154.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $69.00	Professional		$59.00	$59.00	$69.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $99.38 / $99.38 / $99.38	Professional	50	$99.38	$99.38	$99.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $64.58 / $93.30	Professional		$49.42	$64.58	$93.30
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 $44.17 / $60.03 / $121.82	Professional		$44.17	$60.03	$121.82
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $174.71 / $174.71	Facility		$55.00	$174.71	$174.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $390.80 / $451.58	Professional		$263.00	$390.80	$451.58