Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.19 / $537.40 / $3,381.65	Facility		$271.19	$537.40	$3,381.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $303.44 / $643.30	Professional		$181.27	$303.44	$643.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.97 / $266.26 / $379.70	Professional		$127.97	$266.26	$379.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $298.48 / $580.54	Professional		$189.96	$298.48	$580.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $288.57 / $625.08	Professional		$194.73	$288.57	$625.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.12 / $303.45 / $419.12	Facility		$189.12	$303.45	$419.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $348.47 / $348.47 / $348.47	Professional		$348.47	$348.47	$348.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $281.26 / $482.63	Professional		$160.19	$281.26	$482.63
United Facility/Professional Facility Modifier Low / Median / High Price $304.22 / $874.00 / $2,229.00	Facility		$304.22	$874.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $291.74 / $654.32	Professional		$222.79	$291.74	$654.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $1,348.50 / $1,348.50	Facility		$142.00	$1,348.50	$1,348.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,429.04 / $2,228.32 / $2,590.28	Professional		$1,429.04	$2,228.32	$2,590.28