Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,148.15 / $4,168.69	Facility		$186.21	$1,148.15	$4,168.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $371.54 / $1,659.59 / $5,128.61	Facility	50	$371.54	$1,659.59	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $602.56	Professional		$102.33	$204.17	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $446.68 / $1,122.02	Professional	50	$181.97	$446.68	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $398.11	Professional		$89.13	$186.21	$398.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $257.04 / $501.19	Professional	50	$151.36	$257.04	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Facility		$575.44	$575.44	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $478.63	Professional		$147.91	$281.84	$478.63
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 $123.03 / $223.87 / $398.11	Professional		$123.03	$223.87	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $457.09	Professional		$295.12	$295.12	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $186.21 / $309.03	Facility		$102.33	$186.21	$309.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,691.53	Facility		$1,174.90	$1,174.90	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $389.05	Professional		$151.36	$302.00	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,137.96 / $4,073.80	Facility		$676.08	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $389.05	Professional		$97.72	$181.97	$389.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $30,199.52	Facility		$2,691.53	$2,691.53	$30,199.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37