Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.01 / $209.15 / $387.18	Facility		$74.01	$209.15	$387.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $72.20 / $161.31	Professional		$47.65	$72.20	$161.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.83 / $183.83 / $183.83	Professional	50	$183.83	$183.83	$183.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $76.63 / $123.17	Professional		$66.64	$76.63	$123.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $59.34	Facility		$58.49	$58.49	$59.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $99.86 / $173.96	Professional		$60.00	$99.86	$173.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $78.28 / $606.10	Facility		$78.28	$78.28	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $86.21 / $150.02	Professional		$57.00	$86.21	$150.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $84.35 / $123.35	Facility		$48.60	$84.35	$123.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $90.00 / $96.00	Professional		$84.35	$90.00	$96.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $126.53 / $126.53 / $126.53	Professional	50	$126.53	$126.53	$126.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.11 / $1,060.11 / $3,649.18	Facility		$1,060.11	$1,060.11	$3,649.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $88.96 / $129.83	Professional		$65.97	$88.96	$129.83
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 $58.79 / $87.05 / $168.89	Professional		$58.79	$87.05	$168.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $252.51 / $252.51	Facility		$55.00	$252.51	$252.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $540.40 / $635.70	Professional		$363.84	$540.40	$635.70