Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $450.80 / $1,615.00	Facility		$73.48	$450.80	$1,615.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $317.48 / $684.44 / $819.92	Facility	50	$317.48	$684.44	$819.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $90.09 / $187.86	Professional		$51.65	$90.09	$187.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $110.24 / $233.70 / $489.03	Professional	50	$110.24	$233.70	$489.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $170.63 / $263.25	Professional		$104.64	$170.63	$263.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $81.13 / $82.31	Facility		$81.13	$81.13	$82.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $137.83 / $255.07	Professional		$85.02	$137.83	$255.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.61 / $61.61 / $395.75	Facility		$61.61	$61.61	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $116.51 / $196.30	Professional		$70.18	$116.51	$196.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $115.71 / $193.00	Facility		$52.95	$115.71	$193.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $137.55 / $201.54 / $289.50	Facility	50	$137.55	$201.54	$289.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $124.00 / $133.66	Professional		$96.00	$124.00	$133.66
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $200.51 / $200.51 / $200.51	Professional	50	$200.51	$200.51	$200.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $88.91 / $123.38	Professional		$70.70	$88.91	$123.38
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 $65.00 / $115.97 / $199.67	Professional		$65.00	$115.97	$199.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $183.12 / $252.70 / $15,000.00	Facility		$183.12	$252.70	$15,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,157.00 / $1,157.00 / $1,157.00	Professional		$1,157.00	$1,157.00	$1,157.00