Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $390.43 / $821.29	Facility		$84.96	$390.43	$821.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $88.86 / $191.59	Professional		$43.41	$88.86	$191.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $149.44 / $149.44	Professional		$149.44	$149.44	$149.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $60.32 / $62.33	Facility		$60.32	$60.32	$62.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $187.08 / $268.25	Professional		$94.32	$187.08	$268.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $79.73 / $384.00	Facility		$63.23	$79.73	$384.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $133.24 / $235.77	Professional		$61.50	$133.24	$235.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $117.62 / $206.28	Facility		$44.28	$117.62	$206.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $114.00 / $151.62	Professional		$71.59	$114.00	$151.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.20 / $209.90 / $245.40	Professional		$182.20	$209.90	$245.40
United Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $724.00 / $1,741.00	Facility		$82.00	$724.00	$1,741.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $121.67 / $227.30	Professional		$79.91	$121.67	$227.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $219.34 / $219.34	Facility		$55.00	$219.34	$219.34
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,797.00 / $1,797.00 / $1,797.00	Professional		$1,797.00	$1,797.00	$1,797.00