Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $28.67 / $481.65	Facility		$11.15	$28.67	$481.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $18.53 / $44.65	Professional		$11.15	$18.53	$44.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $28.96 / $28.96	Professional		$28.96	$28.96	$28.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $47.50 / $89.20	Professional		$23.17	$47.50	$89.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $35.77 / $63.43	Professional		$16.22	$35.77	$63.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $30.64 / $57.00	Facility		$11.37	$30.64	$57.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $49.28	Professional		$24.00	$24.00	$49.28
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $73.92 / $73.92 / $73.92	Professional	50	$73.92	$73.92	$73.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $23.53 / $34.65	Professional		$15.74	$23.53	$34.65
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 $16.57 / $33.43 / $58.29	Professional		$16.57	$33.43	$58.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $64.68 / $64.68	Facility		$55.00	$64.68	$64.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $188.91 / $206.74	Professional		$81.52	$188.91	$206.74