Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $1,245.00 / $4,311.00	Facility		$172.56	$1,245.00	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $253.74 / $456.73	Professional		$115.33	$253.74	$456.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $242.66 / $242.66	Professional		$110.30	$242.66	$242.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.70 / $387.52 / $615.25	Professional		$215.70	$387.52	$615.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $294.75 / $614.39	Professional		$154.08	$294.75	$614.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.33 / $279.91 / $449.07	Facility		$115.33	$279.91	$449.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $301.00 / $342.00	Professional		$301.00	$301.00	$342.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $303.70 / $693.50	Professional		$267.60	$303.70	$693.50
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,376.00 / $3,517.00	Facility		$405.00	$2,376.00	$3,517.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $342.93 / $661.97	Professional		$228.26	$342.93	$661.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $569.62 / $569.62	Facility		$55.00	$569.62	$569.62
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $931.65 / $954.23 / $2,068.73	Professional		$931.65	$954.23	$2,068.73