Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.28 / $790.32 / $5,758.75	Facility		$232.28	$790.32	$5,758.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $698.86 / $1,501.64 / $1,501.64	Facility	50	$698.86	$1,501.64	$1,501.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $427.12 / $809.07	Professional		$206.91	$427.12	$809.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $844.59 / $889.85 / $905.31	Professional	50	$844.59	$889.85	$905.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.63 / $323.30 / $894.51	Professional		$220.63	$323.30	$894.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.72 / $520.48 / $1,189.54	Professional		$253.72	$520.48	$1,189.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.47 / $557.21 / $1,307.11	Professional		$274.47	$557.21	$1,307.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.91 / $528.00 / $946.47	Facility		$206.91	$528.00	$946.47
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $339.02 / $792.00 / $1,554.00	Facility	50	$339.02	$792.00	$1,554.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.05 / $650.00 / $650.00	Professional		$613.05	$650.00	$650.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $919.59 / $919.59 / $919.59	Professional	50	$919.59	$919.59	$919.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.52 / $289.08 / $379.04	Professional		$233.52	$289.08	$379.04
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 $407.71 / $527.37 / $1,106.69	Professional		$407.71	$527.37	$1,106.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,716.40	Facility		$55.00	$55.00	$1,716.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,946.00 / $2,946.00 / $2,946.00	Professional		$2,946.00	$2,946.00	$2,946.00