Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.68 / $507.24 / $3,383.82	Facility		$238.68	$507.24	$3,383.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $260.37 / $569.26	Professional		$149.05	$260.37	$569.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $140.04 / $241.86	Professional		$116.31	$140.04	$241.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.79 / $292.47 / $536.13	Professional		$169.79	$292.47	$536.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.65 / $274.20 / $570.66	Professional		$180.65	$274.20	$570.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $277.69 / $384.87	Facility		$163.36	$277.69	$384.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $320.56 / $320.56 / $320.56	Professional		$320.56	$320.56	$320.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $255.63 / $441.65	Professional		$141.53	$255.63	$441.65
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 $211.26 / $263.58 / $648.75	Professional		$211.26	$263.58	$648.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,163.09 / $1,163.09	Facility		$55.00	$1,163.09	$1,163.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,231.04 / $2,025.52 / $2,361.98	Professional		$1,231.04	$2,025.52	$2,361.98