Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $2,015.39 / $5,177.00	Facility		$176.00	$2,015.39	$5,177.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,125.28 / $11,125.28 / $11,125.28	Facility	50	$11,125.28	$11,125.28	$11,125.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $189.05 / $556.29	Professional		$66.37	$189.05	$556.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $619.70 / $619.70	Professional	50	$166.68	$619.70	$619.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $59.78 / $140.78	Professional		$58.48	$59.78	$140.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $364.41 / $548.66	Professional		$114.16	$364.41	$548.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $212.61 / $519.79	Professional		$82.80	$212.61	$519.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $234.97 / $858.00	Facility		$72.39	$234.97	$858.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $183.14 / $518.80 / $1,287.00	Facility	50	$183.14	$518.80	$1,287.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.38 / $235.00 / $858.00	Professional		$231.38	$235.00	$858.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $347.07 / $1,287.00 / $1,297.03	Professional	50	$347.07	$1,287.00	$1,297.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.60 / $360.10 / $505.40	Professional		$176.60	$360.10	$505.40
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 $182.92 / $281.16 / $608.45	Professional		$182.92	$281.16	$608.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $664.40 / $954.09	Facility		$55.00	$664.40	$954.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $954.09 / $1,882.43 / $3,336.50	Professional		$954.09	$1,882.43	$3,336.50