Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.34 / $1,195.64 / $3,411.00	Facility		$126.34	$1,195.64	$3,411.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $78.89 / $222.29	Professional		$24.50	$78.89	$222.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $487.65	Professional	50	$125.21	$125.21	$487.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.42 / $393.42 / $393.42	Professional		$393.42	$393.42	$393.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $276.33 / $492.65	Professional		$50.84	$276.33	$492.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $395.75	Facility		$395.75	$395.75	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $107.09 / $375.64	Professional		$34.34	$107.09	$375.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $104.96 / $379.29	Facility		$24.99	$104.96	$379.29
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $83.06 / $435.38 / $493.50	Facility	50	$83.06	$435.38	$493.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $185.00 / $400.00	Professional		$43.00	$185.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $435.38 / $435.38 / $435.38	Professional	50	$435.38	$435.38	$435.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $40.98 / $55.92	Professional		$30.81	$40.98	$55.92
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $105.67 / $366.88	Professional		$30.46	$105.67	$366.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $294.42 / $308.80 / $12,000.00	Facility		$294.42	$308.80	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $1,928.00 / $1,928.00	Professional		$1,928.00	$1,928.00	$1,928.00