Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,096.48 / $6,918.31	Facility		$467.74	$1,096.48	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $977.24 / $2,290.87	Facility	50	$933.25	$977.24	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $186.21 / $363.08	Professional		$77.62	$186.21	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $309.03 / $380.19	Professional	50	$288.40	$309.03	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.95 / $234.42	Professional		$17.78	$19.95	$234.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	50	$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $524.81	Professional		$114.82	$257.04	$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 / $446.68	Professional		$97.72	$213.80	$446.68
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 $81.28 / $194.98 / $331.13	Facility		$81.28	$194.98	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $316.23 / $457.09	Professional		$117.49	$316.23	$457.09
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 $79.43 / $173.78 / $354.81	Professional		$79.43	$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 Facility Modifier 52 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	52	$1,698.24	$1,698.24	$1,698.24
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