Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,513.56 / $4,265.80	Facility		$223.87	$1,513.56	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $3,890.45 / $4,570.88	Facility	50	$3,890.45	$3,890.45	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $562.34	Professional		$79.43	$204.17	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $257.04 / $1,096.48	Professional	50	$141.25	$257.04	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $467.74	Professional		$89.13	$93.33	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $707.95 / $707.95 / $707.95	Professional	50	$707.95	$707.95	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $263.03 / $512.86	Professional		$95.50	$263.03	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $416.87	Professional		$89.13	$204.17	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $549.54	Professional		$371.54	$371.54	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $208.93 / $363.08	Facility		$83.18	$208.93	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $338.84 / $467.74	Professional		$120.23	$338.84	$467.74
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 $74.13 / $169.82 / $338.84	Professional		$74.13	$169.82	$338.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $19,498.45	Facility		$2,691.53	$2,691.53	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26