Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.46 / $370.68 / $708.46	Facility		$109.46	$370.68	$708.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $109.46 / $247.57	Professional		$54.22	$109.46	$247.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $76.58 / $76.58	Professional		$76.58	$76.58	$76.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $160.93 / $272.25	Professional		$90.72	$160.93	$272.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $141.15 / $235.49	Professional		$72.93	$141.15	$235.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $121.19 / $205.17	Facility		$54.22	$121.19	$205.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.19 / $192.19 / $192.19	Professional		$192.19	$192.19	$192.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.45 / $1,554.45 / $12,509.51	Facility		$1,554.45	$1,554.45	$12,509.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $86.31 / $174.34	Professional		$55.89	$86.31	$174.34
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 $88.44 / $116.72 / $263.64	Professional		$88.44	$116.72	$263.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $375.96 / $375.96	Facility		$55.00	$375.96	$375.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $948.41 / $952.05	Professional		$499.00	$948.41	$952.05