Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,148.15 / $4,168.69	Facility		$169.82	$1,148.15	$4,168.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $5,248.07 / $7,943.28	Facility	50	$758.58	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $257.04	Professional		$57.54	$102.33	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $91.20 / $2,454.71	Professional	50	$79.43	$91.20	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $204.17	Professional		$85.11	$109.65	$204.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $316.23	Professional		$79.43	$190.55	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $269.15	Professional		$72.44	$131.83	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $257.04	Facility		$60.26	$107.15	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $223.87	Professional		$83.18	$154.88	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $4,073.80	Facility		$549.54	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $223.87	Professional		$57.54	$100.00	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $19,498.45	Facility		$2,089.30	$2,089.30	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96