Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $142.77 / $309.60	Facility		$38.33	$142.77	$309.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $180.40 / $198.61 / $813.57	Facility	50	$180.40	$198.61	$813.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $51.42 / $108.51	Professional		$26.44	$51.42	$108.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.68 / $201.17 / $262.56	Professional	50	$73.68	$201.17	$262.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $54.32 / $62.00	Professional		$54.32	$54.32	$62.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $42.93 / $43.55	Facility		$42.93	$42.93	$43.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $75.01 / $127.04	Professional		$43.09	$75.01	$127.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $71.05 / $606.10	Facility		$71.05	$71.05	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $64.34 / $120.40	Professional		$38.36	$64.34	$120.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $62.72 / $93.55	Facility		$27.23	$62.72	$93.55
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $88.62 / $103.71 / $166.31	Facility	50	$88.62	$103.71	$166.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $65.00 / $81.00	Professional		$62.72	$65.00	$81.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $94.08 / $94.08 / $94.08	Professional	50	$94.08	$94.08	$94.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $74.65 / $109.96	Professional		$37.29	$74.65	$109.96
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 $50.02 / $68.20 / $150.88	Professional		$50.02	$68.20	$150.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $125.59 / $125.59	Facility		$55.00	$125.59	$125.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $238.13 / $455.28 / $528.29	Professional		$238.13	$455.28	$528.29