Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.12 / $4,068.51 / $7,278.00	Facility		$250.12	$4,068.51	$7,278.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,644.40 / $10,372.50 / $10,372.50	Facility	50	$2,644.40	$10,372.50	$10,372.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $250.12 / $447.07	Professional		$155.38	$250.12	$447.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $362.04 / $579.26 / $1,055.59	Professional	50	$362.04	$579.26	$1,055.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $658.04 / $658.04 / $658.04	Professional	50	$658.04	$658.04	$658.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $435.08 / $779.60	Professional		$270.89	$435.08	$779.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $355.01 / $562.86	Professional		$219.46	$355.01	$562.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $352.00 / $612.89	Facility		$155.38	$352.00	$612.89
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $362.54 / $569.00 / $930.44	Facility	50	$362.54	$569.00	$930.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $395.49 / $395.49 / $628.69	Professional		$395.49	$395.49	$628.69
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $593.24 / $593.24 / $593.24	Professional	50	$593.24	$593.24	$593.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $372.70 / $742.00	Professional		$5.00	$372.70	$742.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.37 / $361.56 / $734.40	Professional		$246.37	$361.56	$734.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,096.98 / $1,096.98 / $16,394.00	Facility		$1,096.98	$1,096.98	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,338.00 / $3,411.19 / $3,411.19	Professional		$3,338.00	$3,411.19	$3,411.19