Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.37 / $614.79 / $7,278.00	Facility		$197.37	$614.79	$7,278.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $715.33 / $715.33 / $1,343.73	Facility	50	$715.33	$715.33	$1,343.73
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $148.03 / $243.59 / $303.45	Facility	54	$148.03	$243.59	$303.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $268.95 / $487.69	Professional		$197.37	$268.95	$487.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $334.50 / $345.95 / $769.32	Professional	50	$334.50	$345.95	$769.32
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $148.03 / $177.89 / $284.48	Professional	54	$148.03	$177.89	$284.48
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $29.61 / $35.58 / $52.13	Professional	55	$29.61	$35.58	$52.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.43 / $223.00 / $573.11	Professional		$222.43	$223.00	$573.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $334.49 / $367.94 / $859.66	Professional	50	$334.49	$367.94	$859.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $394.78 / $764.12	Professional		$282.89	$394.78	$764.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.32 / $345.39 / $690.17	Professional		$232.32	$345.39	$690.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.37 / $315.79 / $724.58	Facility		$197.37	$315.79	$724.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $344.04 / $657.00 / $1,288.50	Facility	50	$344.04	$657.00	$1,288.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $399.74	Professional		$302.00	$302.00	$399.74
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $599.61 / $599.61 / $599.61	Professional	50	$599.61	$599.61	$599.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $353.13 / $353.13 / $353.13	Facility		$353.13	$353.13	$353.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.54 / $289.89 / $382.96	Professional		$213.54	$289.89	$382.96
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $315.33 / $655.30	Professional		$227.04	$315.33	$655.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,395.96	Facility		$55.00	$55.00	$1,395.96
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $720.56 / $720.56 / $720.56	Facility	54	$720.56	$720.56	$720.56
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,680.00 / $4,509.17 / $4,509.17	Professional		$3,680.00	$4,509.17	$4,509.17