Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $268.77 / $4,311.00	Facility		$100.86	$268.77	$4,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $433.71 / $468.94 / $996.34	Facility	50	$433.71	$468.94	$996.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $187.41 / $428.90	Professional		$74.73	$187.41	$428.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.12 / $297.12 / $1,190.00	Professional	50	$275.12	$297.12	$1,190.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $107.47 / $107.47	Professional		$107.47	$107.47	$107.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $248.11 / $517.44	Professional		$117.71	$248.11	$517.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $218.35 / $511.32	Professional		$97.48	$218.35	$511.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $238.11 / $411.66	Facility		$75.79	$238.11	$411.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $210.00 / $370.50 / $829.34	Facility	50	$210.00	$370.50	$829.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $233.09 / $572.00	Professional		$233.09	$233.09	$572.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $349.64 / $349.64 / $349.64	Professional	50	$349.64	$349.64	$349.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $201.60 / $672.90	Professional		$5.00	$201.60	$672.90
United Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $833.00 / $1,928.00	Facility		$415.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $257.47 / $656.26	Professional		$184.34	$257.47	$656.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $523.74 / $523.74 / $12,000.00	Facility		$523.74	$523.74	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $915.62 / $1,723.12 / $2,036.70	Professional		$915.62	$1,723.12	$2,036.70