Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $342.22 / $415.50	Facility		$92.19	$342.22	$415.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $97.91 / $273.04	Professional		$66.04	$97.91	$273.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.28 / $181.28 / $181.28	Professional		$181.28	$181.28	$181.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $150.26 / $231.82	Professional		$82.04	$150.26	$231.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.48 / $110.48 / $606.10	Facility		$110.48	$110.48	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $116.17 / $204.04	Professional		$77.00	$116.17	$204.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $110.11 / $168.10	Facility		$66.58	$110.11	$168.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $119.00 / $129.00	Professional		$110.11	$119.00	$129.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $132.90 / $173.05	Professional		$99.29	$132.90	$173.05
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $112.02 / $222.60	Professional		$78.33	$112.02	$222.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $348.89 / $348.89	Facility		$55.00	$348.89	$348.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $495.76 / $720.00 / $852.00	Professional		$495.76	$720.00	$852.00