Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $185.85 / $4,978.00	Facility		$46.14	$185.85	$4,978.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $92.62 / $295.95 / $5,177.00	Facility	50	$92.62	$295.95	$5,177.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.17 / $36.72 / $354.42	Facility	52	$16.17	$36.72	$354.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $47.03 / $111.66	Professional		$32.20	$47.03	$111.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.00 / $124.91 / $200.26	Professional	50	$60.00	$124.91	$200.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.17 / $23.07 / $54.21	Professional	52	$16.17	$23.07	$54.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $63.64 / $83.84	Professional		$40.56	$63.64	$83.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.29 / $98.18 / $121.69	Professional	50	$74.29	$98.18	$121.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $74.92 / $125.71	Professional		$49.25	$74.92	$125.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $66.59 / $110.76	Professional		$40.44	$66.59	$110.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $54.96 / $95.48	Facility		$32.33	$54.96	$95.48
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $64.50 / $91.98 / $169.62	Facility	50	$64.50	$91.98	$169.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $61.32 / $118.49	Professional		$61.32	$61.32	$118.49
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $91.98 / $91.98 / $91.98	Professional	50	$91.98	$91.98	$91.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $90.20 / $121.90	Professional		$4.00	$90.20	$121.90
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 $46.63 / $65.28 / $136.46	Professional		$46.63	$65.28	$136.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $182.35 / $182.35	Facility		$55.00	$182.35	$182.35
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $125.18 / $125.18 / $125.18	Facility	52	$125.18	$125.18	$125.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $348.00 / $400.73	Professional		$233.44	$348.00	$400.73