Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.03 / $2,463.44 / $9,187.18	Facility		$335.03	$2,463.44	$9,187.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $133.46 / $374.91	Professional		$65.45	$133.46	$374.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $554.46 / $710.34 / $738.65	Professional	50	$554.46	$710.34	$738.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $278.25 / $339.56	Professional		$106.65	$278.25	$339.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $386.38 / $386.38 / $386.38	Professional	50	$386.38	$386.38	$386.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $284.75 / $452.93	Professional		$129.68	$284.75	$452.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $213.61 / $402.39	Professional		$99.70	$213.61	$402.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $174.55 / $295.31	Facility		$74.79	$174.55	$295.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.11 / $229.11 / $428.17	Professional		$229.11	$229.11	$428.17
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $343.67 / $343.67 / $343.67	Professional	50	$343.67	$343.67	$343.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $225.00 / $469.40	Professional		$5.00	$225.00	$469.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $241.65 / $467.88	Professional		$165.41	$241.65	$467.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $507.90 / $507.90	Facility		$55.00	$507.90	$507.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.92 / $1,262.16 / $1,459.58	Professional		$616.92	$1,262.16	$1,459.58