Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,659.59 / $5,623.41	Facility		$173.78	$1,659.59	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility	50	$7,413.10	$7,413.10	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $380.19	Professional		$69.18	$141.25	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $213.80	Professional		$43.65	$91.20	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $323.59	Professional		$102.33	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $316.23	Professional		$89.13	$151.36	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $245.47	Facility		$83.18	$158.49	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $309.03	Professional		$120.23	$239.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $6,760.83	Facility		$1,230.27	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $239.88	Professional		$70.79	$125.89	$239.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $19,498.45	Facility		$3,981.07	$3,981.07	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44