Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $855.75 / $4,376.00	Facility		$167.16	$855.75	$4,376.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $182.95 / $415.00	Professional		$131.19	$182.95	$415.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.07 / $238.58 / $261.58	Professional		$194.07	$238.58	$261.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.05 / $286.18 / $420.62	Professional		$184.05	$286.18	$420.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $235.01 / $407.56	Professional		$162.49	$235.01	$407.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $204.00 / $347.96	Facility		$131.19	$204.00	$347.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $194.88 / $410.85	Professional		$194.88	$194.88	$410.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $164.70 / $438.80	Professional		$3.00	$164.70	$438.80
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 $146.99 / $215.05 / $456.46	Professional		$146.99	$215.05	$456.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $652.89 / $652.89	Facility		$55.00	$652.89	$652.89
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $962.08 / $1,212.56 / $1,423.43	Professional		$962.08	$1,212.56	$1,423.43