Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $238.68 / $446.26	Facility		$62.68	$238.68	$446.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $316.82 / $390.65 / $395.48	Facility	50	$316.82	$390.65	$395.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $66.73 / $175.77	Professional		$38.47	$66.73	$175.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.57 / $114.57 / $114.57	Professional	50	$114.57	$114.57	$114.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $78.80 / $108.61	Professional		$66.98	$78.80	$108.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $61.32 / $62.22	Facility		$61.32	$61.32	$62.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $97.44 / $157.85	Professional		$50.44	$97.44	$157.85
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 $47.16 / $77.64 / $135.00	Professional		$47.16	$77.64	$135.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $76.38 / $113.79	Facility		$39.25	$76.38	$113.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $79.50 / $130.44 / $176.60	Facility	50	$79.50	$130.44	$176.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $80.00 / $89.00	Professional		$79.34	$80.00	$89.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $119.01 / $119.01 / $119.01	Professional	50	$119.01	$119.01	$119.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,496.44 / $2,496.44 / $2,496.44	Facility		$2,496.44	$2,496.44	$2,496.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $86.70 / $121.80	Professional		$57.01	$86.70	$121.80
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 $52.06 / $75.98 / $142.11	Professional		$52.06	$75.98	$142.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $207.77 / $207.77	Facility		$55.00	$207.77	$207.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $294.48 / $497.28 / $585.60	Professional		$294.48	$497.28	$585.60