Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.18 / $898.00 / $6,953.60	Facility		$172.18	$898.00	$6,953.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $222.55 / $400.93	Professional		$150.99	$222.55	$400.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $147.35 / $156.41	Professional		$99.33	$147.35	$156.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $224.22 / $472.78	Professional		$177.24	$224.22	$472.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $254.42 / $495.45	Professional		$185.09	$254.42	$495.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.18 / $243.10 / $344.00	Facility		$172.18	$243.10	$344.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.37 / $274.37 / $600.00	Professional		$274.37	$274.37	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $240.13 / $372.29	Professional		$155.72	$240.13	$372.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $3,733.00 / $6,543.00	Facility		$1,728.00	$3,733.00	$6,543.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $229.16 / $601.41	Professional		$186.08	$229.16	$601.41
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,256.88 / $1,256.88 / $16,394.00	Facility		$1,256.88	$1,256.88	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,325.36 / $1,723.76 / $2,022.23	Professional		$1,325.36	$1,723.76	$2,022.23