Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.68 / $460.11 / $6,915.00	Facility		$267.68	$460.11	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $340.95 / $651.52	Professional		$222.02	$340.95	$651.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.04 / $160.04 / $334.44	Professional		$160.04	$160.04	$334.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.32 / $343.53 / $777.09	Professional		$266.32	$343.53	$777.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.37 / $389.36 / $813.28	Professional		$281.37	$389.36	$813.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.44 / $379.92 / $554.54	Facility		$234.44	$379.92	$554.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $434.85 / $434.85 / $600.00	Professional		$434.85	$434.85	$600.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.33 / $351.73 / $604.89	Professional		$194.33	$351.73	$604.89
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 $294.10 / $376.69 / $892.23	Professional		$294.10	$376.69	$892.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,658.40 / $1,658.40 / $16,394.00	Facility		$1,658.40	$1,658.40	$16,394.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,757.92 / $2,783.84 / $3,241.28	Professional		$1,757.92	$2,783.84	$3,241.28