Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $555.46 / $5,449.00	Facility		$45.60	$555.46	$5,449.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $833.19 / $833.19 / $833.19	Facility	50	$833.19	$833.19	$833.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $73.76 / $110.64	Professional		$45.60	$73.76	$110.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.34 / $214.99 / $244.74	Professional	50	$70.34	$214.99	$244.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.39 / $165.39 / $165.39	Professional		$165.39	$165.39	$165.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $110.77 / $223.11	Professional		$46.90	$110.77	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $87.17 / $188.05	Professional		$51.93	$87.17	$188.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $66.36 / $127.04	Facility		$45.60	$66.36	$127.04
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $72.83 / $108.00 / $180.80	Facility	50	$72.83	$108.00	$180.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $120.00 / $120.00	Professional		$114.70	$120.00	$120.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $172.05 / $172.05 / $172.05	Professional	50	$172.05	$172.05	$172.05
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $87.38 / $151.41	Professional		$55.52	$87.38	$151.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $319.02	Facility		$55.00	$55.00	$319.02
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $383.56 / $417.53 / $425.33	Professional		$383.56	$417.53	$425.33