Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $912.01 / $5,011.87	Facility		$112.20	$912.01	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility	50	$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $204.17 / $588.84	Professional		$66.07	$204.17	$588.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $602.56 / $741.31	Professional	50	$165.96	$602.56	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $181.97 / $316.23	Professional		$63.10	$181.97	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $363.08 / $549.54	Professional		$109.65	$363.08	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $204.17 / $489.78	Professional		$81.28	$204.17	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $199.53 / $416.87	Facility		$66.07	$199.53	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $457.09 / $758.58	Professional		$218.78	$457.09	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $758.58 / $1,949.84	Facility		$204.17	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $416.87	Professional		$69.18	$181.97	$416.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $3,311.31	Professional		$1,862.09	$3,311.31	$3,311.31