Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $1,847.39 / $5,968.02	Facility		$251.46	$1,847.39	$5,968.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $201.65 / $503.47	Professional		$91.88	$201.65	$503.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $132.72 / $169.18	Professional		$121.60	$132.72	$169.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $234.02 / $496.39	Professional		$126.63	$234.02	$496.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.44 / $502.92 / $948.75	Facility		$323.44	$502.92	$948.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $211.45 / $491.29	Professional		$107.13	$211.45	$491.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $215.54 / $326.33	Facility		$97.89	$215.54	$326.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $396.00 / $474.00	Professional		$270.26	$396.00	$474.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.24 / $192.40 / $514.20	Professional		$154.24	$192.40	$514.20
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $475.00 / $2,912.00	Facility		$226.00	$475.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $230.18 / $556.29	Professional		$161.41	$230.18	$556.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $702.78 / $702.78 / $12,000.00	Facility		$702.78	$702.78	$12,000.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $890.51 / $1,677.52 / $1,989.53	Professional		$890.51	$1,677.52	$1,989.53