Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.61 / $1,045.02 / $3,579.05	Facility		$173.61	$1,045.02	$3,579.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $366.05 / $1,676.02 / $5,177.00	Facility	50	$366.05	$1,676.02	$5,177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $186.83 / $388.59	Professional		$103.18	$186.83	$388.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $161.69 / $337.92 / $895.00	Professional	50	$161.69	$337.92	$895.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $146.88 / $146.88 / $146.88	Professional	50	$146.88	$146.88	$146.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $575.08 / $583.47	Facility		$575.08	$575.08	$583.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $313.86 / $485.74	Professional		$166.78	$313.86	$485.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $820.28	Facility		$606.10	$606.10	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $226.74 / $401.03	Professional		$132.01	$226.74	$401.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.34 / $214.85 / $311.83	Facility		$103.34	$214.85	$311.83
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $276.70 / $356.67 / $554.40	Facility	50	$276.70	$356.67	$554.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $247.00	Professional		$233.00	$233.00	$247.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $356.67 / $356.67 / $356.67	Professional	50	$356.67	$356.67	$356.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,173.53 / $1,173.53 / $1,173.53	Facility		$1,173.53	$1,173.53	$1,173.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $253.50 / $324.87	Professional		$150.06	$253.50	$324.87
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $291.41 / $520.88	Professional		$170.18	$291.41	$520.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $273.29 / $524.02 / $30,000.00	Facility		$273.29	$524.02	$30,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $3,500.00	Professional		$1,012.00	$1,012.00	$3,500.00