Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $501.19 / $2,511.89	Facility		$54.95	$501.19	$2,511.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $104.71 / $933.25 / $1,548.82	Facility	50	$104.71	$933.25	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $162.18	Professional		$37.15	$67.61	$162.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $144.54 / $257.04	Professional	50	$77.62	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $83.18	Professional		$34.67	$53.70	$83.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $89.13 / $169.82	Professional	50	$74.13	$89.13	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $147.91	Professional		$47.86	$87.10	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $112.20	Professional		$43.65	$69.18	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $123.03	Professional		$93.33	$93.33	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $102.33	Facility		$37.15	$60.26	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $109.65	Professional		$52.48	$85.11	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $724.44 / $1,949.84	Facility		$204.17	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $93.33	Professional		$35.48	$52.48	$93.33
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $15,135.61	Facility		$2,187.76	$2,187.76	$15,135.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $457.09	Professional		$398.11	$398.11	$457.09