Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $267.89 / $4,311.00	Facility		$121.73	$267.89	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $153.74 / $267.82	Professional		$115.37	$153.74	$267.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $147.38 / $147.38	Professional		$147.38	$147.38	$147.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $193.23 / $376.02	Professional		$129.94	$193.23	$376.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $185.99 / $376.42	Professional		$143.24	$185.99	$376.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $173.48 / $256.33	Facility		$121.73	$173.48	$256.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $206.21 / $400.00	Professional		$206.21	$206.21	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $163.58 / $262.74	Professional		$97.50	$163.58	$262.74
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 $134.46 / $172.33 / $420.86	Professional		$134.46	$172.33	$420.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $611.47 / $611.47 / $12,000.00	Facility		$611.47	$611.47	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $902.48 / $1,212.64 / $1,402.43	Professional		$902.48	$1,212.64	$1,402.43