Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $229.09 / $602.56	Facility		$75.86	$229.09	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $416.87	Professional		$141.25	$177.83	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $457.09	Professional		$229.09	$269.15	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $218.78	Facility		$162.18	$194.98	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $602.56	Professional		$204.17	$407.38	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $812.83	Facility		$263.03	$263.03	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $501.19	Professional		$120.23	$295.12	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $371.54	Facility		$128.82	$190.55	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $354.81 / $467.74	Professional		$100.00	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $489.78	Professional		$131.83	$245.47	$489.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Professional		$1,202.26	$1,202.26	$1,445.44