Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $397.28 / $1,446.37	Facility		$75.31	$397.28	$1,446.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $548.05 / $2,040.54 / $2,657.91	Facility	50	$548.05	$2,040.54	$2,657.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $88.82 / $256.12	Professional		$48.93	$88.82	$256.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.81 / $141.66 / $470.75	Professional	50	$72.81	$141.66	$470.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $118.59 / $151.16	Professional		$118.59	$118.59	$151.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $115.81 / $115.81 / $124.25	Professional	50	$115.81	$115.81	$124.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $142.19 / $217.40	Professional		$78.06	$142.19	$217.40
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 $64.86 / $107.43 / $188.93	Professional		$64.86	$107.43	$188.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $101.11 / $141.69	Facility		$50.29	$101.11	$141.69
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $133.59 / $163.92 / $263.36	Facility	50	$133.59	$163.92	$263.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.00 / $117.00	Professional		$106.00	$106.00	$117.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $163.92 / $163.92 / $163.92	Professional	50	$163.92	$163.92	$163.92
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $21.86 / $21.86 / $21.86	Professional	80	$21.86	$21.86	$21.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,769.51 / $1,769.51 / $1,769.51	Facility		$1,769.51	$1,769.51	$1,769.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $119.00 / $152.43	Professional		$70.84	$119.00	$152.43
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 $78.19 / $129.21 / $235.09	Professional		$78.19	$129.21	$235.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $169.38 / $247.76 / $740.00	Facility		$169.38	$247.76	$740.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $483.00 / $1,800.00	Professional		$483.00	$483.00	$1,800.00