Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $242.37 / $5,449.00	Facility		$136.82	$242.37	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $145.63 / $250.51	Professional		$123.21	$145.63	$250.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $154.63	Professional		$154.63	$154.63	$154.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $199.04 / $363.43	Professional		$135.75	$199.04	$363.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $190.42 / $382.82	Professional		$149.66	$190.42	$382.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $180.98 / $252.62	Facility		$136.82	$180.98	$252.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $190.51 / $400.00	Professional		$190.51	$190.51	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $191.55 / $277.08	Professional		$139.11	$191.55	$277.08
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 $130.69 / $167.24 / $390.01	Professional		$130.69	$167.24	$390.01
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $712.31 / $712.31 / $12,000.00	Facility		$712.31	$712.31	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,018.24 / $1,268.72 / $1,488.60	Professional		$1,018.24	$1,268.72	$1,488.60