Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.62 / $366.75 / $5,449.00	Facility		$123.62	$366.75	$5,449.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $405.70 / $893.92 / $1,215.70	Facility	50	$405.70	$893.92	$1,215.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $133.60 / $285.58	Professional		$97.82	$133.60	$285.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $159.08 / $392.34 / $796.50	Professional	50	$159.08	$392.34	$796.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $264.29 / $264.29 / $315.63	Professional	50	$264.29	$264.29	$315.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $77.25	Facility		$76.14	$76.14	$77.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $204.69 / $331.21	Professional		$139.08	$204.69	$331.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $118.80 / $606.10	Facility		$118.80	$118.80	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $176.25 / $319.74	Professional		$130.96	$176.25	$319.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.66 / $153.63 / $238.79	Facility		$105.66	$153.63	$238.79
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $239.25 / $245.01 / $452.90	Facility	50	$239.25	$245.01	$452.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $176.00	Professional		$157.00	$157.00	$176.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $245.01 / $245.01 / $245.01	Professional	50	$245.01	$245.01	$245.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $168.18 / $213.21	Professional		$99.02	$168.18	$213.21
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 $114.42 / $178.13 / $349.30	Professional		$114.42	$178.13	$349.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $534.90 / $534.90	Facility		$55.00	$534.90	$534.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $766.56 / $966.30 / $1,209.53	Professional		$766.56	$966.30	$1,209.53