Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $225.58 / $4,311.00	Facility		$70.98	$225.58	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $79.87 / $202.76	Professional		$42.84	$79.87	$202.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $24.62 / $251.27 / $338.37	Professional	50	$24.62	$251.27	$338.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $108.30 / $108.30 / $194.49	Professional	50	$108.30	$108.30	$194.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $110.47 / $186.00	Professional		$66.26	$110.47	$186.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $82.72 / $606.10	Facility		$82.72	$82.72	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $94.28 / $168.20	Professional		$57.27	$94.28	$168.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $87.87 / $113.29	Facility		$45.20	$87.87	$113.29
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $119.99 / $146.60 / $239.63	Facility	50	$119.99	$146.60	$239.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $107.00	Professional		$90.00	$90.00	$107.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $146.60 / $146.60 / $146.60	Professional	50	$146.60	$146.60	$146.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $98.80 / $144.43	Professional		$63.67	$98.80	$144.43
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 $66.11 / $90.71 / $189.24	Professional		$66.11	$90.71	$189.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $224.91 / $224.91	Facility		$55.00	$224.91	$224.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $385.65 / $699.60	Professional		$336.00	$385.65	$699.60