Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $630.96 / $7,943.28	Facility		$194.98	$630.96	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	50	$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $549.54	Professional		$128.82	$223.87	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $436.52 / $851.14	Professional	50	$288.40	$436.52	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $363.08	Professional		$186.21	$208.93	$363.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $316.23 / $562.34	Professional	50	$263.03	$316.23	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $512.86	Professional		$169.82	$263.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $436.52	Professional		$151.36	$245.47	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $346.74	Facility		$128.82	$204.17	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $208.93 / $537.03	Professional		$3.98	$208.93	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $758.58 / $1,949.84	Facility		$363.08	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $380.19	Professional		$128.82	$199.53	$380.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,698.24	Professional		$1,445.44	$1,445.44	$1,698.24