Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.55 / $3,779.45 / $12,687.70	Facility		$385.55	$3,779.45	$12,687.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,219.96 / $3,886.57 / $7,873.04	Facility	50	$2,219.96	$3,886.57	$7,873.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $836.11 / $1,421.15	Professional		$169.10	$836.11	$1,421.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $409.22 / $1,226.88 / $3,589.59	Professional	50	$409.22	$1,226.88	$3,589.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $151.94 / $286.06	Professional		$151.94	$151.94	$286.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $551.53 / $2,203.00	Professional		$289.41	$551.53	$2,203.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.27 / $590.86 / $1,793.92	Professional		$224.27	$590.86	$1,793.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $627.08 / $1,505.33	Facility		$179.42	$627.08	$1,505.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $433.50 / $672.61 / $2,492.19	Facility	50	$433.50	$672.61	$2,492.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,098.71 / $1,098.71 / $1,098.71	Professional		$1,098.71	$1,098.71	$1,098.71
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,648.07 / $1,648.07 / $1,648.07	Professional	50	$1,648.07	$1,648.07	$1,648.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.62 / $382.73 / $1,538.73	Professional		$265.62	$382.73	$1,538.73
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.03 / $1,185.23 / $2,155.35	Professional		$823.03	$1,185.23	$2,155.35
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,475.05 / $1,475.05	Facility		$55.00	$1,475.05	$1,475.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,995.17 / $5,698.08 / $6,737.40	Professional		$2,995.17	$5,698.08	$6,737.40