Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $963.42 / $2,152.80	Facility		$96.95	$963.42	$2,152.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $647.84 / $2,147.46 / $2,168.28	Facility	50	$647.84	$2,147.46	$2,168.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $96.95 / $268.02	Professional		$58.09	$96.95	$268.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.44 / $221.27 / $442.10	Professional	50	$115.44	$221.27	$442.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $149.38 / $156.76	Professional		$86.01	$149.38	$156.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.28 / $224.09 / $234.49	Professional	50	$91.28	$224.09	$234.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $93.06	Facility		$91.72	$91.72	$93.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $149.88 / $233.44	Professional		$84.17	$149.88	$233.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $95.49 / $606.10	Facility		$95.49	$95.49	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $119.49 / $206.45	Professional		$76.43	$119.49	$206.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $107.74 / $142.22	Facility		$58.09	$107.74	$142.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $154.46 / $186.68 / $290.47	Facility	50	$154.46	$186.68	$290.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $127.00	Professional		$113.00	$113.00	$127.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $186.68 / $186.68 / $186.68	Professional	50	$186.68	$186.68	$186.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $103.98 / $173.38	Professional		$78.54	$103.98	$173.38
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 $82.21 / $119.16 / $251.48	Professional		$82.21	$119.16	$251.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $286.62 / $286.62	Facility		$55.00	$286.62	$286.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $492.75 / $835.05	Professional		$426.40	$492.75	$835.05