Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $199.53 / $501.19	Facility		$72.44	$199.53	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $263.03	Professional		$61.66	$81.28	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $131.83	Professional		$63.10	$63.10	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $380.19 / $380.19	Facility		$208.93	$380.19	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $95.50 / $151.36	Professional		$41.69	$95.50	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $144.54 / $239.88	Facility		$63.10	$144.54	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $138.04	Professional		$42.66	$67.61	$138.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $151.36	Facility		$74.13	$89.13	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,047.13	Facility		$512.86	$512.86	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $97.72	Professional		$91.20	$91.20	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $151.36	Facility		$75.86	$120.23	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $131.83	Professional		$38.90	$63.10	$131.83
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $691.83	Professional		$457.09	$457.09	$691.83