Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,288.25 / $4,073.80	Facility		$95.50	$1,288.25	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	50	$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $354.81	Professional		$63.10	$134.90	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $398.11 / $426.58	Professional	50	$338.84	$398.11	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $229.09	Professional		$61.66	$70.79	$229.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	50	$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $380.19	Professional		$93.33	$204.17	$380.19
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 $77.62 / $158.49 / $275.42	Professional		$77.62	$158.49	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $302.00	Professional		$251.19	$251.19	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $134.90 / $257.04	Facility		$63.10	$134.90	$257.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $18,620.87	Facility		$17,378.01	$17,378.01	$18,620.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $331.13	Professional		$102.33	$245.47	$331.13
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 $53.70 / $117.49 / $234.42	Professional		$53.70	$117.49	$234.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $15,135.61	Facility		$1,288.25	$2,398.83	$15,135.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Professional		$1,122.02	$1,122.02	$1,318.26