Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $647.71 / $2,043.00	Facility		$103.38	$647.71	$2,043.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,010.36 / $1,657.79 / $6,683.81	Facility	50	$1,010.36	$1,657.79	$6,683.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $80.91 / $214.20	Professional		$41.35	$80.91	$214.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.61 / $159.22 / $400.20	Professional	50	$79.61	$159.22	$400.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $48.12 / $48.12	Professional		$48.12	$48.12	$48.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $128.05 / $235.34	Professional		$75.19	$128.05	$235.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $77.73 / $395.75	Facility		$77.73	$77.73	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $108.03 / $183.94	Professional		$57.52	$108.03	$183.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $101.50 / $170.96	Facility		$42.59	$101.50	$170.96
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $115.50 / $189.90 / $255.21	Facility	50	$115.50	$189.90	$255.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $99.00 / $126.60	Professional		$95.00	$99.00	$126.60
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $189.90 / $189.90 / $189.90	Professional	50	$189.90	$189.90	$189.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $74.67 / $128.25	Professional		$49.85	$74.67	$128.25
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 $68.34 / $108.39 / $183.37	Professional		$68.34	$108.39	$183.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $204.54 / $207.96 / $15,000.00	Facility		$204.54	$207.96	$15,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $1,340.00 / $1,340.00	Professional		$722.00	$1,340.00	$1,340.00