Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $441.99 / $5,449.00	Facility		$226.59	$441.99	$5,449.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $890.63 / $890.63 / $890.63	Facility	50	$890.63	$890.63	$890.63
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $169.94 / $266.32 / $342.62	Facility	54	$169.94	$266.32	$342.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.59 / $290.12 / $547.62	Professional		$226.59	$290.12	$547.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $442.29 / $929.04 / $1,252.76	Professional	50	$442.29	$929.04	$1,252.76
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $169.94 / $216.19 / $297.64	Professional	54	$169.94	$216.19	$297.64
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $33.99 / $43.24 / $59.53	Professional	55	$33.99	$43.24	$59.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.91 / $293.02 / $499.87	Professional		$267.91	$293.02	$499.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $428.77 / $894.40	Professional		$336.67	$428.77	$894.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.99 / $402.14 / $753.70	Professional		$246.99	$402.14	$753.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $377.22 / $688.92	Facility		$226.59	$377.22	$688.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $418.40 / $690.00 / $1,279.50	Facility	50	$418.40	$690.00	$1,279.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $365.00 / $528.42	Professional		$365.00	$365.00	$528.42
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $792.65 / $792.65 / $792.65	Professional	50	$792.65	$792.65	$792.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $340.34 / $422.26	Professional		$257.52	$340.34	$422.26
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 $275.76 / $378.99 / $772.28	Professional		$275.76	$378.99	$772.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,869.28	Facility		$55.00	$55.00	$1,869.28
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $836.14 / $836.14 / $836.14	Facility	54	$836.14	$836.14	$836.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,831.00 / $2,831.00 / $2,831.00	Professional		$2,831.00	$2,831.00	$2,831.00