Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,041.74 / $5,495.41	Facility		$138.04	$2,041.74	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	50	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $269.15	Professional		$75.86	$131.83	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $346.74 / $870.96	Professional	50	$158.49	$346.74	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $245.47	Professional		$77.62	$77.62	$245.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $162.18	Facility		$158.49	$158.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $380.19	Professional		$120.23	$229.09	$380.19
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 $95.50 / $169.82 / $295.12	Professional		$95.50	$169.82	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $134.90 / $229.09	Facility		$77.62	$134.90	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $288.40	Professional		$112.20	$190.55	$288.40
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 / $134.90 / $251.19	Professional		$77.62	$134.90	$251.19
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 $954.99 / $1,096.48 / $1,096.48	Professional		$954.99	$1,096.48	$1,096.48