Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.97 / $3,552.53 / $5,097.45	Facility		$164.97	$3,552.53	$5,097.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $146.94 / $400.20	Professional		$49.04	$146.94	$400.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $103.23 / $221.52	Professional		$42.99	$103.23	$221.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $252.98 / $383.95	Professional		$84.44	$252.98	$383.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $173.23 / $379.72	Professional		$61.03	$173.23	$379.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $185.00 / $517.00	Facility		$53.94	$185.00	$517.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $134.66 / $388.40 / $775.50	Facility	50	$134.66	$388.40	$775.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $517.00	Professional		$164.00	$164.00	$517.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $277.50 / $775.50 / $910.63	Professional	50	$277.50	$775.50	$910.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $204.10 / $377.10	Professional		$70.59	$204.10	$377.10
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $200.74 / $409.70	Professional		$136.97	$200.74	$409.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $367.00 / $367.00	Facility		$55.00	$367.00	$367.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $589.45 / $1,475.09 / $1,845.61	Professional		$589.45	$1,475.09	$1,845.61