Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.02 / $425.66 / $7,278.00	Facility		$194.02	$425.66	$7,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $290.22 / $556.34	Professional		$189.10	$290.22	$556.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.36 / $321.36 / $321.36	Professional		$321.36	$321.36	$321.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $309.38 / $670.14	Professional		$225.15	$309.38	$670.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.46 / $338.39 / $697.48	Professional		$230.46	$338.39	$697.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.02 / $333.72 / $478.77	Facility		$194.02	$333.72	$478.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $378.41 / $378.41 / $600.00	Professional		$378.41	$378.41	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $307.91 / $530.39	Professional		$162.88	$307.91	$530.39
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 $247.77 / $330.64 / $785.76	Professional		$247.77	$330.64	$785.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,007.81 / $1,007.81 / $16,394.00	Facility		$1,007.81	$1,007.81	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,457.52 / $2,438.08 / $2,844.00	Professional		$1,457.52	$2,438.08	$2,844.00