Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $479.00 / $3,762.00	Facility		$127.12	$479.00	$3,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $119.09 / $306.68	Professional		$44.29	$119.09	$306.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $101.62 / $171.21	Professional		$62.37	$101.62	$171.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $137.11 / $287.33	Professional		$54.02	$137.11	$287.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $136.25 / $240.58	Professional		$55.80	$136.25	$240.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $129.61 / $166.92	Facility		$45.73	$129.61	$166.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $166.92 / $166.92	Professional		$166.92	$166.92	$166.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $82.50 / $191.35	Professional		$40.09	$82.50	$191.35
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 $89.42 / $122.40 / $264.37	Professional		$89.42	$122.40	$264.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $229.71 / $229.71	Facility		$55.00	$229.71	$229.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $442.32 / $885.84 / $1,035.38	Professional		$442.32	$885.84	$1,035.38