Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,380.38 / $8,128.31	Facility		$223.87	$1,380.38	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility	50	$933.25	$933.25	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $199.53 / $416.87	Professional		$75.86	$199.53	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $309.03 / $912.01	Professional	50	$114.82	$309.03	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	50	$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Facility		$602.56	$602.56	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $524.81	Professional		$112.20	$223.87	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $457.09	Professional		$97.72	$213.80	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $338.84	Facility		$79.43	$199.53	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $323.59 / $467.74	Professional		$117.49	$323.59	$467.74
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 $77.62 / $173.78 / $354.81	Professional		$77.62	$173.78	$354.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,089.30 / $2,089.30	Facility		$56.23	$2,089.30	$2,089.30
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46