Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,862.09 / $5,128.61	Facility		$162.18	$1,862.09	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $6,309.57 / $7,762.47	Facility	50	$2,691.53	$6,309.57	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $426.58 / $1,513.56	Professional		$95.50	$426.58	$1,513.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $512.86 / $3,388.44	Professional	50	$165.96	$512.86	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $1,202.26	Professional		$85.11	$109.65	$1,202.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $162.18 / $1,778.28	Professional	50	$128.82	$162.18	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $331.13 / $1,202.26	Professional		$134.90	$331.13	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $346.74 / $1,148.15	Professional		$131.83	$346.74	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $389.05 / $870.96	Facility		$97.72	$389.05	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $1,737.80	Professional		$123.03	$141.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,137.96 / $4,265.80	Facility		$933.25	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $407.38 / $912.01	Professional		$102.33	$407.38	$912.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $5,495.41 / $5,495.41	Facility		$56.23	$5,495.41	$5,495.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,786.30	Professional		$4,073.80	$4,786.30	$4,786.30