Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $4,466.84	Facility		$302.00	$562.34	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $812.83	Professional		$275.42	$389.05	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $630.96	Professional		$173.78	$245.47	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $870.96	Professional		$363.08	$575.44	$870.96
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 $316.23 / $446.68 / $724.44	Professional		$316.23	$446.68	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $724.44	Professional		$602.56	$602.56	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $660.69	Facility		$288.40	$407.38	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $741.31	Professional		$467.74	$588.84	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,949.84	Facility		$181.97	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $588.84	Professional		$251.19	$363.08	$588.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	54	$1,288.25	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,754.23	Professional		$2,344.23	$2,344.23	$2,754.23