Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $685.41 / $2,588.50	Facility		$94.64	$685.41	$2,588.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $438.66 / $613.79 / $2,951.95	Facility	50	$438.66	$613.79	$2,951.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $95.05 / $271.68	Professional		$58.35	$95.05	$271.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.50 / $144.80 / $501.59	Professional	50	$82.50	$144.80	$501.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $55.43 / $55.43	Professional		$55.43	$55.43	$55.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $160.80 / $237.47	Professional		$89.44	$160.80	$237.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $120.31 / $203.87	Professional		$74.72	$120.31	$203.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $109.46 / $160.88	Facility		$58.35	$109.46	$160.88
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $155.59 / $180.18 / $282.32	Facility	50	$155.59	$180.18	$282.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $126.00	Professional		$115.00	$115.00	$126.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $180.18 / $180.18 / $180.18	Professional	50	$180.18	$180.18	$180.18
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 $81.91 / $127.70 / $161.90	Professional		$81.91	$127.70	$161.90
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 $83.44 / $130.96 / $230.23	Professional		$83.44	$130.96	$230.23
United Facility/Professional Professional Modifier 50 Low / Median / High Price $204.69 / $204.69 / $204.69	Professional	50	$204.69	$204.69	$204.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $289.37 / $289.37	Facility		$55.00	$289.37	$289.37
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $575.00 / $2,750.00	Professional		$575.00	$575.00	$2,750.00