Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.98 / $781.55 / $4,230.81	Facility		$175.98	$781.55	$4,230.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $512.52 / $512.52 / $641.84	Facility	50	$512.52	$512.52	$641.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $259.31 / $554.99	Professional		$120.18	$259.31	$554.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.25 / $419.21 / $1,332.00	Professional	50	$288.25	$419.21	$1,332.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $280.12 / $616.79	Professional		$280.12	$280.12	$616.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $425.23 / $705.39	Professional		$176.59	$425.23	$705.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $820.28	Facility		$395.75	$395.75	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $311.79 / $578.55	Professional		$146.21	$311.79	$578.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $299.14 / $599.00	Facility		$128.19	$299.14	$599.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $372.48 / $511.35 / $898.50	Facility	50	$372.48	$511.35	$898.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $290.00 / $400.00	Professional		$290.00	$290.00	$400.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $511.35 / $511.35 / $511.35	Professional	50	$511.35	$511.35	$511.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.83 / $240.94 / $451.59	Professional		$183.83	$240.94	$451.59
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 $222.71 / $342.35 / $610.60	Professional		$222.71	$342.35	$610.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $649.37 / $32,000.00	Facility		$489.00	$649.37	$32,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $2,049.86 / $2,209.19	Professional		$1,262.00	$2,049.86	$2,209.19