Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $681.65 / $3,670.53	Facility		$153.00	$681.65	$3,670.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $894.17 / $894.17 / $894.17	Facility	50	$894.17	$894.17	$894.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $178.32 / $457.62	Professional		$73.65	$178.32	$457.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $686.42 / $837.06	Professional	50	$267.48	$686.42	$837.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $191.83 / $312.83	Professional		$178.76	$191.83	$312.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $268.14 / $444.05 / $444.05	Professional	50	$268.14	$444.05	$444.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $251.86 / $456.39	Professional		$135.88	$251.86	$456.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $214.37 / $413.64	Professional		$111.00	$214.37	$413.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $214.20 / $360.85	Facility		$80.84	$214.20	$360.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $165.00 / $326.75 / $576.62	Facility	50	$165.00	$326.75	$576.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.83 / $217.83 / $217.83	Professional		$217.83	$217.83	$217.83
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $326.75 / $326.75 / $326.75	Professional	50	$326.75	$326.75	$326.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $221.42 / $322.10	Professional		$89.12	$221.42	$322.10
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 $157.41 / $235.55 / $531.27	Professional		$157.41	$235.55	$531.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $351.60 / $11,500.00	Facility		$351.60	$351.60	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $759.70 / $1,412.32 / $1,675.13	Professional		$759.70	$1,412.32	$1,675.13