Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.86 / $701.66 / $1,934.88	Facility		$95.86	$701.66	$1,934.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,726.41 / $2,726.41 / $2,726.41	Facility	50	$2,726.41	$2,726.41	$2,726.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.11 / $19.61 / $27.13	Facility	53	$10.11	$19.61	$27.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $103.90 / $299.89	Professional		$48.59	$103.90	$299.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.27 / $143.31 / $357.50	Professional	50	$72.27	$143.31	$357.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $176.28 / $229.45	Professional		$176.28	$176.28	$229.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $264.42 / $264.42 / $264.42	Professional	50	$264.42	$264.42	$264.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.01 / $299.01 / $303.38	Facility		$299.01	$299.01	$303.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $192.40 / $288.44	Professional		$88.19	$192.40	$288.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $395.75	Facility		$395.75	$395.75	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $125.23 / $257.67	Professional		$69.56	$125.23	$257.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $132.41 / $284.00	Facility		$51.62	$132.41	$284.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $171.57 / $324.47 / $426.00	Facility	50	$171.57	$324.47	$426.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $400.00	Professional		$108.00	$108.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $252.51 / $252.51 / $252.51	Professional	50	$252.51	$252.51	$252.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.78 / $1,243.78 / $1,243.78	Facility		$1,243.78	$1,243.78	$1,243.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $99.96 / $186.40	Professional		$69.44	$99.96	$186.40
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $169.84 / $282.25	Professional		$88.67	$169.84	$282.25
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $247.48 / $354.52 / $12,000.00	Facility		$247.48	$354.52	$12,000.00
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $26.23 / $49.50 / $49.50	Facility	53	$26.23	$49.50	$49.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $2,512.54 / $2,512.54	Professional		$526.00	$2,512.54	$2,512.54