Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $145.28 / $557.46	Facility		$78.04	$145.28	$557.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $96.12 / $244.89	Professional		$78.04	$96.12	$244.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $111.43 / $121.53	Professional		$62.82	$111.43	$121.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.52 / $259.82 / $325.68	Facility		$216.52	$259.82	$325.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $126.50 / $126.50	Professional		$126.50	$126.50	$126.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $97.68 / $167.83	Facility		$97.68	$97.68	$167.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $137.86 / $249.30	Professional		$88.93	$137.86	$249.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $143.79 / $249.00	Facility		$78.04	$143.79	$249.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $118.00 / $319.08	Professional		$54.00	$118.00	$319.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $69.73 / $147.58	Professional		$37.72	$69.73	$147.58
United Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $142.74 / $142.74	Facility		$142.74	$142.74	$142.74
United Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $117.00 / $240.92	Professional		$85.38	$117.00	$240.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $429.84 / $583.00 / $583.00	Facility		$429.84	$583.00	$583.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,285.65 / $1,285.65 / $1,285.65	Professional		$1,285.65	$1,285.65	$1,285.65