Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.37 / $755.56 / $6,919.00	Facility		$169.37	$755.56	$6,919.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,707.00 / $3,707.00 / $3,707.00	Facility	50	$3,707.00	$3,707.00	$3,707.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $534.51 / $1,111.25	Professional		$106.08	$534.51	$1,111.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $987.86 / $987.86 / $987.86	Professional	50	$987.86	$987.86	$987.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $108.65 / $108.65	Professional		$77.26	$108.65	$108.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.26 / $370.88 / $1,689.17	Professional		$202.26	$370.88	$1,689.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $370.94 / $1,408.61	Professional		$143.34	$370.94	$1,408.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $432.00 / $1,114.10	Facility		$116.69	$432.00	$1,114.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $301.50 / $434.51 / $1,762.54	Facility	50	$301.50	$434.51	$1,762.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $605.00 / $714.71	Professional		$605.00	$605.00	$714.71
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $301.50 / $1,072.07 / $3,016.02	Professional	50	$301.50	$1,072.07	$3,016.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.18 / $670.40 / $1,031.53	Professional		$186.18	$670.40	$1,031.53
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.32 / $907.99 / $1,441.27	Professional		$496.32	$907.99	$1,441.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $712.50 / $712.50	Facility		$55.00	$712.50	$712.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,908.34 / $4,661.29 / $4,661.29	Professional		$1,908.34	$4,661.29	$4,661.29