Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.59 / $275.98 / $5,449.00	Facility		$105.59	$275.98	$5,449.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $151.99 / $920.75 / $963.92	Facility	50	$151.99	$920.75	$963.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $159.22 / $289.55	Professional		$105.59	$159.22	$289.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.74 / $502.76 / $685.40	Professional	50	$273.74	$502.76	$685.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $274.38 / $475.85	Professional		$167.55	$274.38	$475.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $147.66 / $606.10	Facility		$147.66	$147.66	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.62 / $227.75 / $386.89	Professional		$140.62	$227.75	$386.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.59 / $179.93 / $258.74	Facility		$105.59	$179.93	$258.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $289.94 / $384.14 / $508.66	Facility	50	$289.94	$384.14	$508.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $221.00 / $256.08	Professional		$207.00	$221.00	$256.08
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $384.14 / $384.14 / $384.14	Professional	50	$384.14	$384.14	$384.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $169.71 / $253.13	Professional		$99.83	$169.71	$253.13
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 $142.03 / $234.33 / $400.59	Professional		$142.03	$234.33	$400.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $532.00 / $532.00	Facility		$55.00	$532.00	$532.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $784.48 / $908.85 / $1,355.85	Professional		$784.48	$908.85	$1,355.85