Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,951.21 / $6,760.83	Facility		$154.88	$2,951.21	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $4,365.16 / $7,585.78	Facility	50	$954.99	$4,365.16	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $512.86	Professional		$109.65	$186.21	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $389.05 / $891.25	Professional	50	$154.88	$389.05	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $309.03	Professional		$75.86	$154.88	$309.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $229.09 / $467.74	Professional	50	$186.21	$229.09	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $446.68	Professional		$199.53	$223.87	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $389.05	Professional		$181.97	$245.47	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $363.08	Facility		$154.88	$218.78	$363.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,715.35	Facility		$1,659.59	$1,659.59	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $295.12 / $407.38	Professional		$3.98	$295.12	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,890.45 / $6,760.83	Facility		$1,174.90	$3,890.45	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $363.08	Professional		$151.36	$199.53	$363.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $45,708.82	Facility		$3,715.35	$3,715.35	$45,708.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44