Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.38 / $159.01 / $5,449.00	Facility		$100.38	$159.01	$5,449.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $527.80 / $527.80 / $527.80	Facility	50	$527.80	$527.80	$527.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $127.26 / $207.32	Professional		$89.99	$127.26	$207.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.46 / $524.46 / $524.46	Professional	50	$524.46	$524.46	$524.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $70.29 / $71.31	Facility		$70.29	$70.29	$71.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $170.22 / $264.86	Professional		$100.70	$170.22	$264.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $146.55 / $395.75	Facility		$146.55	$146.55	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $157.37 / $278.20	Professional		$98.37	$157.37	$278.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.38 / $138.59 / $235.60	Facility		$100.38	$138.59	$235.60
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $181.50 / $234.00 / $413.88	Facility	50	$181.50	$234.00	$413.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $131.00 / $186.00	Professional		$123.23	$131.00	$186.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $184.85 / $184.85 / $184.85	Professional	50	$184.85	$184.85	$184.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $181.32 / $234.02	Professional		$131.46	$181.32	$234.02
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 $97.98 / $146.32 / $333.32	Professional		$97.98	$146.32	$333.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $526.91 / $526.91	Facility		$55.00	$526.91	$526.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,030.72 / $1,254.83	Professional		$876.00	$1,030.72	$1,254.83