Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $379.70 / $1,011.78	Facility		$107.74	$379.70	$1,011.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $559.76 / $559.76 / $559.76	Facility	50	$559.76	$559.76	$559.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $108.57 / $225.46	Professional		$48.97	$108.57	$225.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $163.58 / $927.00	Professional	50	$54.53	$163.58	$927.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $76.02 / $145.86	Professional		$76.02	$76.02	$145.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $102.83 / $104.33	Facility		$102.83	$102.83	$104.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $147.18 / $293.14	Professional		$82.50	$147.18	$293.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $133.80 / $395.75	Facility		$133.80	$133.80	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $134.08 / $264.76	Professional		$68.73	$134.08	$264.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $126.78 / $199.50	Facility		$50.44	$126.78	$199.50
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $145.50 / $225.14 / $336.00	Facility	50	$145.50	$225.14	$336.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $157.00 / $157.00	Professional		$134.99	$157.00	$157.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $202.49 / $202.49 / $202.49	Professional	50	$202.49	$202.49	$202.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $100.96 / $190.12	Professional		$71.94	$100.96	$190.12
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $832.00 / $1,928.00	Facility		$206.00	$832.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $149.09 / $288.19	Professional		$93.56	$149.09	$288.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $254.27 / $254.27	Facility		$55.00	$254.27	$254.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $1,030.00 / $1,030.00	Professional		$804.00	$1,030.00	$1,030.00