Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $376.03 / $7,439.00	Facility		$202.68	$376.03	$7,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $214.55 / $564.76	Professional		$144.19	$214.55	$564.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.52 / $175.52 / $175.52	Professional		$175.52	$175.52	$175.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $285.48 / $453.95	Professional		$142.62	$285.48	$453.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.50 / $385.10 / $504.05	Professional		$234.50	$385.10	$504.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $266.61 / $423.60	Facility		$202.68	$266.61	$423.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $282.27 / $282.27	Professional		$282.27	$282.27	$282.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $229.80 / $229.80	Professional		$221.00	$229.80	$229.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,086.00 / $7,778.00	Facility		$1,172.00	$4,086.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.97 / $576.21	Professional		$177.83	$257.97	$576.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,394.10 / $2,498.41	Facility		$55.00	$1,394.10	$2,498.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,214.40 / $3,214.40 / $5,406.44	Professional		$3,214.40	$3,214.40	$5,406.44