Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $155.94 / $353.36	Facility		$39.25	$155.94	$353.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $21.78 / $40.78	Professional		$11.89	$21.78	$40.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.84 / $34.86 / $61.31	Professional	50	$17.84	$34.86	$61.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.21 / $7.21 / $14.10	Professional	52	$7.21	$7.21	$14.10
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.88 / $2.88 / $8.03	Professional	53	$2.88	$2.88	$8.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $18.23 / $25.18	Professional		$14.40	$18.23	$25.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $19.52 / $27.36 / $31.50	Professional	50	$19.52	$27.36	$31.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $22.21 / $36.04	Professional		$17.91	$22.21	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.48 / $36.65	Professional		$15.06	$21.48	$36.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $16.70 / $30.12	Facility		$14.10	$16.70	$30.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $16.70 / $35.93	Professional		$16.70	$16.70	$35.93
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $25.05 / $25.05 / $25.05	Professional	50	$25.05	$25.05	$25.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $41.80	Professional		$17.30	$17.30	$41.80
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 $12.03 / $17.72 / $39.47	Professional		$12.03	$17.72	$39.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $85.00 / $85.45	Facility		$40.47	$85.00	$85.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $134.18 / $134.18	Professional		$111.04	$134.18	$134.18