Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $140.47 / $201.15	Facility		$105.69	$140.47	$201.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $105.69 / $190.40	Professional		$93.39	$105.69	$190.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $107.19 / $193.15	Professional		$81.55	$107.19	$193.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $204.66 / $295.24	Professional		$146.22	$204.66	$295.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.17 / $123.17 / $402.31	Facility		$123.17	$123.17	$402.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $169.21 / $296.44	Professional		$108.68	$169.21	$296.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $178.00 / $388.00	Facility		$105.69	$178.00	$388.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $143.00 / $154.68	Professional		$143.00	$143.00	$154.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $160.94 / $214.30	Professional		$142.72	$160.94	$214.30
United Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $144.68 / $290.91	Professional		$105.51	$144.68	$290.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $319.05 / $544.97	Facility		$251.53	$319.05	$544.97
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $1,846.00 / $1,846.00	Professional		$1,846.00	$1,846.00	$1,846.00