Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.09 / $545.69 / $5,449.00	Facility		$102.09	$545.69	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $152.52 / $366.37	Professional		$92.84	$152.52	$366.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $64.42 / $133.96	Professional		$54.76	$64.42	$133.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $137.97 / $295.87	Professional		$102.75	$137.97	$295.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $156.54 / $311.31	Professional		$104.27	$156.54	$311.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.10 / $152.52 / $217.02	Facility		$102.10	$152.52	$217.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $172.02 / $172.02	Professional		$172.02	$172.02	$172.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $146.79 / $244.00	Professional		$89.42	$146.79	$244.00
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 $117.45 / $148.30 / $365.01	Professional		$117.45	$148.30	$365.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $546.58 / $546.58 / $11,500.00	Facility		$546.58	$546.58	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $773.60 / $1,121.92 / $1,308.68	Professional		$773.60	$1,121.92	$1,308.68