Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $356.77 / $7,724.00	Facility		$128.01	$356.77	$7,724.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $330.44 / $330.44 / $1,204.59	Facility	50	$330.44	$330.44	$1,204.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $197.05 / $378.61	Professional		$123.85	$197.05	$378.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $274.23 / $532.79 / $840.16	Professional	50	$274.23	$532.79	$840.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.60 / $342.60 / $342.60	Professional		$342.60	$342.60	$342.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $292.51 / $512.20	Professional		$191.31	$292.51	$512.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $258.88 / $437.05	Professional		$150.78	$258.88	$437.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $217.56 / $378.98	Facility		$128.01	$217.56	$378.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $262.50 / $359.30 / $704.77	Facility	50	$262.50	$359.30	$704.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $239.53 / $492.26	Professional		$239.53	$239.53	$492.26
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $359.30 / $359.30 / $359.30	Professional	50	$359.30	$359.30	$359.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $197.30 / $541.40	Professional		$4.00	$197.30	$541.40
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 $188.35 / $255.06 / $546.27	Professional		$188.35	$255.06	$546.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $685.62 / $685.62	Facility		$55.00	$685.62	$685.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,027.00 / $1,447.92 / $1,696.20	Professional		$1,027.00	$1,447.92	$1,696.20