Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $113.73 / $2,444.11	Facility		$44.37	$113.73	$2,444.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $96.98 / $218.70	Professional		$40.81	$96.98	$218.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $97.01 / $97.01	Professional		$97.01	$97.01	$97.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $77.87 / $191.75	Professional		$43.76	$77.87	$191.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $87.54 / $216.86	Professional		$48.11	$87.54	$216.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $101.50 / $143.30	Facility		$44.37	$101.50	$143.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $101.50 / $101.50	Professional		$101.50	$101.50	$101.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $79.81 / $176.40	Professional		$35.43	$79.81	$176.40
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 $71.23 / $107.92 / $249.23	Professional		$71.23	$107.92	$249.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $222.78 / $222.78	Facility		$55.00	$222.78	$222.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $426.63 / $820.72 / $954.53	Professional		$426.63	$820.72	$954.53