Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,258.93 / $6,309.57	Facility		$87.10	$1,258.93	$6,309.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.63 / $724.44 / $4,786.30	Facility	50	$478.63	$724.44	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $436.52	Professional		$54.95	$109.65	$436.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $199.53 / $380.19	Professional	50	$128.82	$199.53	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $177.83	Professional		$50.12	$64.57	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $371.54	Professional		$85.11	$162.18	$371.54
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 / $117.49 / $234.42	Professional		$72.44	$117.49	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $208.93	Professional		$131.83	$131.83	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $190.55	Facility		$58.88	$100.00	$190.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $30,902.95 / $30,902.95	Facility		$21,379.62	$30,902.95	$30,902.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $257.04	Professional		$91.20	$181.97	$257.04
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 / $93.33 / $190.55	Professional		$53.70	$93.33	$190.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48