Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.82 / $914.20 / $3,308.57	Facility		$205.82	$914.20	$3,308.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $286.30 / $640.58	Professional		$191.53	$286.30	$640.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $135.49 / $135.49	Professional		$129.22	$135.49	$135.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $294.70 / $610.65	Professional		$205.76	$294.70	$610.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $305.74 / $636.79	Professional		$187.55	$305.74	$636.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $205.82 / $304.32 / $448.95	Facility		$205.82	$304.32	$448.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.91 / $368.91 / $600.00	Professional		$368.91	$368.91	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $293.11 / $485.45	Professional		$171.89	$293.11	$485.45
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $305.17 / $687.02	Professional		$232.99	$305.17	$687.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,068.60 / $1,068.60 / $16,394.00	Facility		$1,068.60	$1,068.60	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,544.72 / $2,246.16 / $2,618.25	Professional		$1,544.72	$2,246.16	$2,618.25