Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.44 / $1,690.85 / $3,449.72	Facility		$258.44	$1,690.85	$3,449.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $241.81 / $695.33	Professional		$103.09	$241.81	$695.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.10 / $234.10 / $412.80	Professional		$234.10	$234.10	$412.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.59 / $523.59 / $531.23	Facility		$523.59	$523.59	$531.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $394.37 / $639.08	Professional		$179.24	$394.37	$639.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $638.03	Facility		$606.10	$606.10	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $279.38 / $552.91	Professional		$136.88	$279.38	$552.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $271.37 / $344.90	Facility		$104.94	$271.37	$344.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $307.00 / $334.61	Professional		$307.00	$307.00	$334.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $986.13 / $986.13 / $986.13	Facility		$986.13	$986.13	$986.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $343.90 / $428.38	Professional		$153.19	$343.90	$428.38
United Facility/Professional Facility Modifier Low / Median / High Price $554.00 / $2,417.00 / $4,102.00	Facility		$554.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $332.52 / $592.04	Professional		$199.49	$332.52	$592.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $529.39 / $529.39	Facility		$55.00	$529.39	$529.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $970.38 / $1,870.48 / $2,168.69	Professional		$970.38	$1,870.48	$2,168.69