Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.11 / $1,350.00 / $12,880.63	Facility		$168.11	$1,350.00	$12,880.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $168.11 / $358.69	Professional		$160.68	$168.11	$358.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $144.91 / $144.91	Professional		$144.91	$144.91	$144.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $266.70 / $381.03	Professional		$189.50	$266.70	$381.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.55 / $862.55 / $862.55	Professional		$862.55	$862.55	$862.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.52 / $168.11 / $419.08	Facility		$159.52	$168.11	$419.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $159.52 / $216.00	Professional		$159.52	$159.52	$216.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.10 / $294.10 / $294.10	Professional		$294.10	$294.10	$294.10
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $255.46 / $448.77	Professional		$140.50	$255.46	$448.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $379.29 / $426.13 / $843.32	Facility		$379.29	$426.13	$843.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,208.72 / $1,448.78 / $1,448.78	Professional		$1,208.72	$1,448.78	$1,448.78