Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.17 / $182.83 / $318.72	Facility		$75.17	$182.83	$318.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $324.95 / $324.95 / $366.47	Facility	50	$324.95	$324.95	$366.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $89.38 / $192.18	Professional		$46.14	$89.38	$192.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.31 / $252.12 / $274.74	Professional	50	$113.31	$252.12	$274.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $207.06 / $207.06	Professional		$109.06	$207.06	$207.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $166.57 / $296.52	Professional		$78.75	$166.57	$296.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $116.90 / $205.56	Professional		$60.54	$116.90	$205.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $108.07 / $209.11	Facility		$46.14	$108.07	$209.11
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $112.50 / $187.50 / $306.02	Facility	50	$112.50	$187.50	$306.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $146.13 / $201.96	Professional		$146.13	$146.13	$201.96
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $219.20 / $219.20 / $219.20	Professional	50	$219.20	$219.20	$219.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $107.30 / $290.10	Professional		$4.00	$107.30	$290.10
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $139.88 / $255.85	Professional		$78.91	$139.88	$255.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $272.35 / $272.35	Facility		$55.00	$272.35	$272.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $666.95 / $679.95	Professional		$377.00	$666.95	$679.95