Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $421.30 / $7,278.00	Facility		$150.97	$421.30	$7,278.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.69 / $1,862.69 / $2,696.81	Facility	50	$1,862.69	$1,862.69	$2,696.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $251.21 / $554.61	Professional		$138.03	$251.21	$554.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $215.30 / $472.52 / $1,200.71	Professional	50	$215.30	$472.52	$1,200.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.96 / $246.96 / $460.81	Professional		$246.96	$246.96	$460.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $370.44 / $370.44 / $370.44	Professional	50	$370.44	$370.44	$370.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $283.45 / $660.88	Professional		$165.06	$283.45	$660.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $291.37 / $579.80	Professional		$154.05	$291.37	$579.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $273.97 / $482.00	Facility		$150.97	$273.97	$482.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $218.09 / $478.80 / $723.00	Facility	50	$218.09	$478.80	$723.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $338.00 / $338.00	Professional		$319.20	$338.00	$338.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $478.80 / $478.80 / $478.80	Professional	50	$478.80	$478.80	$478.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $3,733.00 / $6,097.00	Facility		$1,258.00	$3,733.00	$6,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.46 / $300.16 / $750.15	Professional		$226.46	$300.16	$750.15
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $484.00 / $484.00 / $1,070.40	Facility		$484.00	$484.00	$1,070.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,138.32 / $2,281.65 / $2,306.53	Professional		$1,138.32	$2,281.65	$2,306.53