Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,258.93 / $7,585.78	Facility		$147.91	$1,258.93	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $1,737.80 / $9,332.54	Facility	50	$549.54	$1,737.80	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $457.09	Professional		$134.90	$165.96	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $416.87	Professional		$169.82	$204.17	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $371.54	Professional		$165.96	$229.09	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $309.03	Facility		$144.54	$204.17	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $281.84 / $398.11	Professional		$3.98	$281.84	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,890.45 / $6,760.83	Facility		$1,737.80	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $331.13	Professional		$138.04	$186.21	$331.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $45,708.82	Facility		$7,943.28	$7,943.28	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Professional		$1,096.48	$1,096.48	$1,288.25