Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $72.55 / $5,449.00	Facility		$33.40	$72.55	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $49.83 / $112.46	Professional		$33.32	$49.83	$112.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $155.22 / $233.52	Professional	50	$60.55	$155.22	$233.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $59.68 / $81.73	Professional		$42.74	$59.68	$81.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $27.84 / $28.25	Facility		$27.84	$27.84	$28.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $79.79 / $127.84	Professional		$51.10	$79.79	$127.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.31 / $38.31 / $606.10	Facility		$38.31	$38.31	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $64.90 / $112.81	Professional		$45.61	$64.90	$112.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $58.57 / $85.99	Facility		$33.40	$58.57	$85.99
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $88.36 / $97.56 / $149.97	Facility	50	$88.36	$97.56	$149.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $64.00	Professional		$59.00	$59.00	$64.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $95.72 / $95.72 / $95.72	Professional	50	$95.72	$95.72	$95.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $59.42 / $80.01	Professional		$47.67	$59.42	$80.01
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 $42.36 / $66.98 / $117.75	Professional		$42.36	$66.98	$117.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $160.22 / $160.22	Facility		$55.00	$160.22	$160.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $364.96 / $409.05	Professional		$245.68	$364.96	$409.05