Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $213.80 / $1,071.52	Facility		$83.18	$213.80	$1,071.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $316.23 / $371.54 / $2,344.23	Facility	50	$316.23	$371.54	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $363.08	Professional		$56.23	$154.88	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $416.87 / $562.34	Professional	50	$186.21	$416.87	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $169.82	Professional		$51.29	$117.49	$169.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $141.25 / $269.15	Professional	50	$141.25	$141.25	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $295.12	Professional		$75.86	$154.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $281.84	Professional		$72.44	$125.89	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $134.90 / $223.87	Facility		$56.23	$134.90	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $194.98 / $426.58	Professional		$5.01	$194.98	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $218.78	Professional		$56.23	$107.15	$218.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Professional		$1,122.02	$1,122.02	$1,318.26