Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $556.48 / $2,032.73	Facility		$57.06	$556.48	$2,032.73
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $104.51 / $924.34 / $1,538.36	Facility	50	$104.51	$924.34	$1,538.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $58.05 / $142.54	Professional		$36.36	$58.05	$142.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $101.00 / $172.95 / $226.14	Professional	50	$101.00	$172.95	$226.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.44 / $85.63	Professional		$47.86	$56.44	$85.63
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $71.78 / $71.78 / $82.34	Professional	50	$71.78	$71.78	$82.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $43.40 / $44.04	Facility		$43.40	$43.40	$44.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $87.47 / $151.36	Professional		$51.14	$87.47	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $49.41 / $395.75	Facility		$49.41	$49.41	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $69.66 / $115.29	Professional		$46.57	$69.66	$115.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $66.00 / $102.09	Facility		$37.45	$66.00	$102.09
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $79.50 / $106.94 / $160.72	Facility	50	$79.50	$106.94	$160.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $71.29	Professional		$62.00	$62.00	$71.29
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $106.94 / $106.94 / $106.94	Professional	50	$106.94	$106.94	$106.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $66.91 / $96.29	Professional		$50.85	$66.91	$96.29
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $65.03 / $143.51	Professional		$45.70	$65.03	$143.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $103.81 / $179.74 / $15,000.00	Facility		$103.81	$179.74	$15,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $398.32 / $459.60	Professional		$279.00	$398.32	$459.60