Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.74 / $879.00 / $4,228.54	Facility		$62.74	$879.00	$4,228.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.57 / $978.42 / $3,861.59	Facility	50	$0.57	$978.42	$3,861.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $56.79 / $168.00	Professional		$32.15	$56.79	$168.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $34.11 / $68.36	Professional		$26.48	$34.11	$68.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $77.66 / $118.48	Professional		$56.36	$77.66	$118.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $70.58 / $173.23	Professional		$42.16	$70.58	$173.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $55.95 / $127.76	Facility		$32.43	$55.95	$127.76
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $51.00 / $76.02 / $235.26	Facility	50	$51.00	$76.02	$235.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $51.00 / $113.00	Professional		$50.68	$51.00	$113.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $45.70 / $84.50	Professional		$33.20	$45.70	$84.50
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 $40.40 / $85.53 / $219.05	Professional		$40.40	$85.53	$219.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $153.66 / $153.66	Facility		$55.00	$153.66	$153.66
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,650.00 / $1,650.00	Professional		$1,650.00	$1,650.00	$1,650.00