Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $1,111.01 / $3,598.65	Facility		$143.54	$1,111.01	$3,598.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $944.65 / $3,635.22 / $6,210.55	Facility	50	$944.65	$3,635.22	$6,210.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $170.90 / $364.79	Professional		$87.29	$170.90	$364.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.34 / $282.69 / $782.57	Professional	50	$130.34	$282.69	$782.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $293.18	Professional		$230.00	$230.00	$293.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $221.92 / $225.48 / $439.77	Professional	50	$221.92	$225.48	$439.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $263.19 / $440.99	Professional		$141.69	$263.19	$440.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $820.28	Facility		$606.10	$606.10	$820.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $201.54 / $366.77	Professional		$113.57	$201.54	$366.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.72 / $196.54 / $272.85	Facility		$87.72	$196.54	$272.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $247.32 / $319.11 / $511.28	Facility	50	$247.32	$319.11	$511.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $211.00 / $228.00	Professional		$211.00	$211.00	$228.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $319.11 / $319.11 / $319.11	Professional	50	$319.11	$319.11	$319.11
Medcost Facility/Professional Professional Modifier 80 Low / Median / High Price $42.55 / $42.55 / $42.55	Professional	80	$42.55	$42.55	$42.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.63 / $1,204.63 / $1,204.63	Facility		$1,204.63	$1,204.63	$1,204.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $234.80 / $301.27	Professional		$128.93	$234.80	$301.27
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 $151.22 / $253.17 / $444.65	Professional		$151.22	$253.17	$444.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $235.13 / $452.96 / $30,000.00	Facility		$235.13	$452.96	$30,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $3,100.00	Professional		$776.25	$776.25	$3,100.00