Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $512.86 / $5,495.41	Facility		$275.42	$512.86	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $562.34	Professional		$194.98	$257.04	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Facility		$114.82	$114.82	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $616.60	Professional		$229.09	$354.81	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $524.81	Professional		$218.78	$309.03	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $562.34	Professional		$354.81	$354.81	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $446.68	Facility		$204.17	$281.84	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $512.86	Professional		$338.84	$398.11	$512.86
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 $181.97 / $239.88 / $457.09	Professional		$181.97	$239.88	$457.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,348.96 / $1,348.96	Facility		$56.23	$1,348.96	$1,348.96
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	54	$933.25	$933.25	$933.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,137.96	Professional		$1,778.28	$1,778.28	$2,137.96