Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.80 / $833.98 / $1,582.13	Facility		$132.80	$833.98	$1,582.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $311.26 / $1,684.14 / $2,689.50	Facility	50	$311.26	$1,684.14	$2,689.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $158.99 / $370.88	Professional		$70.66	$158.99	$370.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.88 / $469.25 / $725.00	Professional	50	$140.88	$469.25	$725.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $127.20 / $419.61	Professional		$127.20	$127.20	$419.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $250.32 / $250.32 / $629.41	Professional	50	$250.32	$250.32	$629.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,213.53 / $5,213.53 / $5,289.60	Facility		$5,213.53	$5,213.53	$5,289.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $269.35 / $428.52	Professional		$99.01	$269.35	$428.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $201.51 / $366.28	Professional		$86.45	$201.51	$366.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $200.82 / $727.00	Facility		$80.63	$200.82	$727.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $273.33 / $459.48 / $1,090.50	Facility	50	$273.33	$459.48	$1,090.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $197.00 / $219.30	Professional		$197.00	$197.00	$219.30
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $328.95 / $328.95 / $328.95	Professional	50	$328.95	$328.95	$328.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.14 / $1,012.14 / $1,012.14	Facility		$1,012.14	$1,012.14	$1,012.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $216.80 / $278.12	Professional		$118.24	$216.80	$278.12
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $224.13 / $422.66	Professional		$141.41	$224.13	$422.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $459.08 / $662.39 / $15,000.00	Facility		$459.08	$662.39	$15,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $2,255.51 / $2,306.53	Professional		$671.00	$2,255.51	$2,306.53