Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $489.78 / $6,918.31	Facility		$173.78	$489.78	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $407.38	Professional		$123.03	$154.88	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $302.00	Professional		$186.21	$186.21	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $346.74	Professional		$134.90	$199.53	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $354.81	Professional		$147.91	$194.98	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $245.47	Professional		$169.82	$169.82	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $239.88	Facility		$131.83	$177.83	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $275.42	Professional		$199.53	$218.78	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $1,949.84	Facility		$302.00	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $309.03	Professional		$117.49	$154.88	$309.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,479.11	Professional		$1,258.93	$1,258.93	$1,479.11