Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $628.32 / $4,311.00	Facility		$128.22	$628.32	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $304.01 / $498.01	Professional		$82.86	$304.01	$498.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.82 / $196.70 / $333.79	Facility		$178.82	$196.70	$333.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $379.43 / $871.07	Professional		$136.44	$379.43	$871.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $221.50 / $575.00	Facility		$148.19	$221.50	$575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $280.80 / $722.92	Professional		$105.02	$280.80	$722.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $342.34 / $445.04	Facility		$82.86	$342.34	$445.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $165.82 / $851.54	Professional		$126.74	$165.82	$851.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $465.61 / $760.60	Professional		$122.78	$465.61	$760.60
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $120.00 / $1,251.00	Facility		$54.00	$120.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $390.28 / $770.30	Professional		$199.58	$390.28	$770.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $494.75 / $494.75	Facility		$55.00	$494.75	$494.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,184.10 / $2,311.12 / $2,742.60	Professional		$1,184.10	$2,311.12	$2,742.60