Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $2,433.36 / $6,012.38	Facility		$903.00	$2,433.36	$6,012.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.27 / $0.62 / $0.62	Facility	50	$0.27	$0.62	$0.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $210.36 / $477.09	Professional		$124.11	$210.36	$477.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $203.54 / $239.82	Professional		$136.07	$203.54	$239.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $260.02 / $351.97	Professional		$181.78	$260.02	$351.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.97 / $230.84 / $398.49	Professional		$168.97	$230.84	$398.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.99 / $181.78 / $318.95	Facility		$134.99	$181.78	$318.95
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $265.22 / $272.67 / $499.50	Facility	50	$265.22	$272.67	$499.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $35.36 / $36.36 / $66.59	Facility	80	$35.36	$36.36	$66.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $21.67 / $25.45 / $46.62	Facility	AS	$21.67	$25.45	$46.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $181.78 / $359.63	Professional		$181.78	$181.78	$359.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $211.05 / $259.00	Professional		$44.70	$211.05	$259.00
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 $136.31 / $202.62 / $378.91	Professional		$136.31	$202.62	$378.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $496.22 / $649.94	Facility		$55.00	$496.22	$649.94
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $30.46 / $64.98 / $64.98	Facility	AS	$30.46	$64.98	$64.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $964.32 / $1,171.50 / $1,171.50	Professional		$964.32	$1,171.50	$1,171.50