Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.15 / $217.43 / $677.56	Facility		$46.15	$217.43	$677.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $222.42 / $489.21 / $976.52	Facility	50	$222.42	$489.21	$976.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $81.90 / $170.01	Professional		$27.10	$81.90	$170.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $233.78 / $315.23	Professional	50	$43.08	$233.78	$315.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $131.22 / $131.22	Professional		$131.22	$131.22	$131.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $196.84 / $196.84 / $196.84	Professional	50	$196.84	$196.84	$196.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $108.68 / $209.41	Professional		$34.25	$108.68	$209.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.03 / $111.03 / $606.10	Facility		$111.03	$111.03	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $90.08 / $176.36	Professional		$32.21	$90.08	$176.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $86.84 / $121.58	Facility		$27.11	$86.84	$121.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $95.97 / $169.05 / $259.23	Facility	50	$95.97	$169.05	$259.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $113.00	Professional		$77.00	$77.00	$113.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $169.05 / $169.05 / $169.05	Professional	50	$169.05	$169.05	$169.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $102.87 / $137.44	Professional		$32.51	$102.87	$137.44
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 $68.75 / $102.52 / $193.75	Professional		$68.75	$102.52	$193.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $140.80 / $140.80	Facility		$55.00	$140.80	$140.80
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $633.67 / $724.80	Professional		$320.45	$633.67	$724.80