Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $977.24 / $2,570.40	Facility		$169.82	$977.24	$2,570.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $3,019.95 / $6,165.95	Facility	50	$954.99	$3,019.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $524.81	Professional		$87.10	$177.83	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $295.12 / $912.01	Professional	50	$131.83	$295.12	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $295.12	Professional		$79.43	$173.78	$295.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $239.88 / $489.78	Professional	50	$114.82	$239.88	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $426.58	Professional		$123.03	$251.19	$426.58
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 $107.15 / $199.53 / $363.08	Professional		$107.15	$199.53	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $416.87	Professional		$263.03	$263.03	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $169.82 / $288.40	Facility		$87.10	$169.82	$288.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,691.53	Facility		$1,202.26	$1,202.26	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $363.08	Professional		$128.82	$269.15	$363.08
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 $81.28 / $158.49 / $346.74	Professional		$81.28	$158.49	$346.74
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 $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30