Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $995.86 / $3,136.54	Facility		$231.66	$995.86	$3,136.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,032.47 / $4,670.00 / $6,808.11	Facility	50	$1,032.47	$4,670.00	$6,808.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $181.20 / $492.10	Professional		$54.80	$181.20	$492.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.72 / $360.66 / $779.03	Professional	50	$81.72	$360.66	$779.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $209.62 / $288.32	Professional		$187.10	$209.62	$288.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $292.38 / $420.19	Professional		$88.46	$292.38	$420.19
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 $76.66 / $189.16 / $419.74	Professional		$76.66	$189.16	$419.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $240.44 / $302.14	Facility		$58.03	$240.44	$302.14
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $205.43 / $367.67 / $655.28	Facility	50	$205.43	$367.67	$655.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $211.00 / $300.00	Professional		$211.00	$211.00	$300.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $367.67 / $367.67 / $367.67	Professional	50	$367.67	$367.67	$367.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,201.84 / $5,201.84 / $5,201.84	Facility		$5,201.84	$5,201.84	$5,201.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $312.89 / $396.14	Professional		$81.91	$312.89	$396.14
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 $149.40 / $249.23 / $551.83	Professional		$149.40	$249.23	$551.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $429.16 / $429.16	Facility		$55.00	$429.16	$429.16
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $871.44 / $1,679.92 / $1,965.90	Professional		$871.44	$1,679.92	$1,965.90