Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.37 / $362.31 / $4,647.82	Facility		$161.37	$362.31	$4,647.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $183.77 / $376.73	Professional		$93.23	$183.77	$376.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $167.08 / $167.08	Professional		$167.08	$167.08	$167.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $214.72 / $326.23	Professional		$141.19	$214.72	$326.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $197.74 / $354.68	Professional		$116.02	$197.74	$354.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $183.77 / $312.41	Facility		$109.59	$183.77	$312.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $156.06 / $393.09	Professional		$156.06	$156.06	$393.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $184.70 / $505.10	Professional		$3.00	$184.70	$505.10
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $194.49 / $393.47	Professional		$117.87	$194.49	$393.47
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $556.84 / $556.84	Facility		$55.00	$556.84	$556.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,321.28 / $1,557.53	Professional		$794.00	$1,321.28	$1,557.53