Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $554.39 / $5,449.00	Facility		$169.99	$554.39	$5,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $352.80 / $687.41	Professional		$169.99	$352.80	$687.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.54 / $392.43 / $623.35	Professional		$326.54	$392.43	$623.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $395.14 / $770.94	Professional		$181.78	$395.14	$770.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $399.90 / $741.08	Professional		$193.76	$399.90	$741.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $387.34 / $529.70	Facility		$169.99	$387.34	$529.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $454.58 / $454.58 / $454.58	Professional		$454.58	$454.58	$454.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $308.02 / $609.77	Professional		$136.72	$308.02	$609.77
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 $296.35 / $368.47 / $906.92	Professional		$296.35	$368.47	$906.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $861.08 / $861.08	Facility		$55.00	$861.08	$861.08
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,480.96 / $2,847.92 / $3,304.20	Professional		$1,480.96	$2,847.92	$3,304.20