Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $727.70 / $4,311.00	Facility		$50.89	$727.70	$4,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $284.54 / $284.54 / $284.54	Facility	50	$284.54	$284.54	$284.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $86.86 / $204.12	Professional		$50.89	$86.86	$204.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.20 / $281.43 / $396.08	Professional	50	$64.20	$281.43	$396.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $112.46 / $170.61	Professional		$89.74	$112.46	$170.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $168.70 / $168.70 / $255.91	Professional	50	$168.70	$168.70	$255.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $78.72 / $79.87	Facility		$78.72	$78.72	$79.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $130.26 / $206.70	Professional		$74.43	$130.26	$206.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.15 / $87.15 / $606.10	Facility		$87.15	$87.15	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $106.08 / $184.48	Professional		$65.38	$106.08	$184.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $97.78 / $124.12	Facility		$50.89	$97.78	$124.12
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $136.28 / $162.32 / $260.14	Facility	50	$136.28	$162.32	$260.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $116.00	Professional		$99.00	$99.00	$116.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $162.32 / $162.32 / $162.32	Professional	50	$162.32	$162.32	$162.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $106.82 / $156.97	Professional		$71.76	$106.82	$156.97
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $103.94 / $232.27	Professional		$73.16	$103.94	$232.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $252.75 / $252.75	Facility		$55.00	$252.75	$252.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $432.23 / $754.73	Professional		$377.68	$432.23	$754.73