Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $6,918.31	Facility		$213.80	$371.54	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $426.58	Professional		$128.82	$213.80	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $363.08	Professional		$75.86	$93.33	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $501.19	Professional		$141.25	$275.42	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $436.52	Professional		$154.88	$251.19	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $524.81	Professional		$316.23	$316.23	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $371.54	Facility		$138.04	$223.87	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $512.86	Professional		$316.23	$407.38	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,137.96 / $4,073.80	Facility		$891.25	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $371.54	Professional		$125.89	$199.53	$371.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,905.46	Professional		$1,737.80	$1,737.80	$1,905.46