Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $691.83 / $3,630.78	Facility		$95.50	$691.83	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $1,258.93 / $2,951.21	Facility	50	$588.84	$1,258.93	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $389.05	Professional		$57.54	$109.65	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $194.98 / $524.81	Professional	50	$85.11	$194.98	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $199.53	Professional		$50.12	$95.50	$199.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $131.83 / $251.19	Professional	50	$83.18	$131.83	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $234.42	Professional		$81.28	$151.36	$234.42
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 $70.79 / $114.82 / $199.53	Professional		$70.79	$114.82	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $229.09	Professional		$151.36	$151.36	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $162.18	Facility		$58.88	$95.50	$162.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,691.53	Facility		$1,230.27	$1,230.27	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $194.98	Professional		$85.11	$144.54	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $181.97	Professional		$57.54	$93.33	$181.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $371.54 / $371.54	Facility		$56.23	$371.54	$371.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23