Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $1,245.00 / $5,177.00	Facility		$63.06	$1,245.00	$5,177.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $710.16 / $710.16 / $22,883.47	Facility	50	$710.16	$710.16	$22,883.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $171.53 / $375.52	Professional		$63.06	$171.53	$375.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $58.11 / $67.45	Professional		$58.11	$58.11	$67.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $254.40 / $452.23	Professional		$115.76	$254.40	$452.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $196.38 / $565.62	Professional		$83.54	$196.38	$565.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $217.95 / $436.17	Facility		$63.06	$217.95	$436.17
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $213.77 / $326.93 / $819.79	Facility	50	$213.77	$326.93	$819.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $205.00 / $428.00	Professional		$205.00	$205.00	$428.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $465.20 / $917.00	Professional		$5.00	$465.20	$917.00
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,376.00 / $3,517.00	Facility		$405.00	$2,376.00	$3,517.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $271.60 / $613.45	Professional		$165.76	$271.60	$613.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $567.63 / $567.63	Facility		$55.00	$567.63	$567.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,152.60 / $2,221.60 / $2,613.53	Professional		$1,152.60	$2,221.60	$2,613.53