Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $851.14 / $5,248.07	Facility		$83.18	$851.14	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $2,951.21 / $2,951.21	Facility	50	$549.54	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $199.53	Professional		$50.12	$87.10	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $173.78 / $389.05	Professional	50	$74.13	$173.78	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $190.55	Professional		$93.33	$120.23	$190.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $123.03 / $257.04	Professional	50	$81.28	$123.03	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Facility		$199.53	$199.53	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $218.78	Professional		$70.79	$134.90	$218.78
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 $61.66 / $104.71 / $181.97	Professional		$61.66	$104.71	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $213.80	Professional		$138.04	$138.04	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $147.91	Facility		$51.29	$89.13	$147.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $186.21	Professional		$74.13	$134.90	$186.21
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 $48.98 / $85.11 / $162.18	Professional		$48.98	$85.11	$162.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $323.59 / $2,630.27	Facility		$56.23	$323.59	$2,630.27
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89