Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $410.79 / $4,978.00	Facility		$80.48	$410.79	$4,978.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $74.70 / $165.44	Professional		$30.06	$74.70	$165.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.03 / $37.35 / $45.83	Professional	52	$15.03	$37.35	$45.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $77.84	Professional		$77.84	$77.84	$77.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $142.09 / $227.30	Professional		$58.34	$142.09	$227.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $106.66 / $180.28	Professional		$50.00	$106.66	$180.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $92.90 / $187.80	Facility		$30.06	$92.90	$187.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $113.68 / $187.71	Professional		$113.68	$113.68	$187.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $168.50 / $205.40	Professional		$3.00	$168.50	$205.40
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $108.25 / $219.14	Professional		$72.84	$108.25	$219.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $143.83 / $148.69	Facility		$55.00	$143.83	$148.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $663.12 / $663.12	Professional		$285.88	$663.12	$663.12