Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.14 / $1,146.80 / $4,168.29	Facility		$107.14	$1,146.80	$4,168.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,116.12 / $7,987.02 / $9,055.74	Facility	50	$3,116.12	$7,987.02	$9,055.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $95.41 / $202.27	Professional		$57.83	$95.41	$202.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $91.74 / $344.07	Professional	50	$91.74	$91.74	$344.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $295.02 / $295.02	Professional		$295.02	$295.02	$295.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $202.31 / $334.48	Professional		$87.81	$202.31	$334.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $638.03	Facility		$395.75	$395.75	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $141.32 / $273.43	Professional		$73.95	$141.32	$273.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $122.94 / $299.00	Facility		$57.83	$122.94	$299.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $137.38 / $294.51 / $448.50	Facility	50	$137.38	$294.51	$448.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $137.00 / $400.00	Professional		$126.00	$137.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $294.51 / $294.51 / $294.51	Professional	50	$294.51	$294.51	$294.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $103.97 / $168.20	Professional		$82.86	$103.97	$168.20
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $161.21 / $265.86	Professional		$89.33	$161.21	$265.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $288.37 / $12,000.00	Facility		$184.38	$288.37	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,297.00 / $1,340.00 / $1,340.00	Professional		$1,297.00	$1,340.00	$1,340.00