Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $386.53 / $724.62	Facility		$133.38	$386.53	$724.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $91.37 / $250.91	Professional		$43.76	$91.37	$250.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $47.24 / $61.18	Professional		$45.79	$47.24	$61.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $149.61 / $242.15	Professional		$82.27	$149.61	$242.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $123.13 / $196.01	Professional		$58.26	$123.13	$196.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $102.16 / $194.12	Facility		$44.16	$102.16	$194.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $181.12 / $181.12	Professional		$181.12	$181.12	$181.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $664.54 / $664.54 / $2,644.80	Facility		$664.54	$664.54	$2,644.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $69.70 / $146.47	Professional		$44.88	$69.70	$146.47
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 $74.48 / $97.23 / $216.05	Professional		$74.48	$97.23	$216.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $302.04 / $302.04	Facility		$55.00	$302.04	$302.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $796.13 / $895.28	Professional		$413.00	$796.13	$895.28