Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $444.69 / $10,087.00	Facility		$262.49	$444.69	$10,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.49 / $431.07 / $753.95	Professional		$262.49	$431.07	$753.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $296.36 / $296.36	Professional		$296.36	$296.36	$296.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $719.39 / $1,472.05	Professional		$309.83	$719.39	$1,472.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $577.07 / $976.73	Professional		$305.60	$577.07	$976.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $431.02 / $1,101.74	Facility		$262.49	$431.02	$1,101.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $366.00 / $838.59	Professional		$366.00	$366.00	$838.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.07 / $367.87 / $479.23	Professional		$294.07	$367.87	$479.23
United Facility/Professional Facility Modifier Low / Median / High Price $905.00 / $2,417.00 / $4,102.00	Facility		$905.00	$2,417.00	$4,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $633.26 / $939.30	Professional		$279.62	$633.26	$939.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,181.48 / $9,102.00 / $11,500.00	Facility		$2,181.48	$9,102.00	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,252.00 / $4,446.43 / $4,446.43	Professional		$3,252.00	$4,446.43	$4,446.43