Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $199.15 / $199.15	Facility		$199.15	$199.15	$199.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $199.15 / $364.31	Professional		$164.43	$199.15	$364.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $188.95 / $344.21	Professional		$175.66	$188.95	$344.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.08 / $290.14 / $444.83	Professional		$199.08	$290.14	$444.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $251.68 / $459.44	Professional		$181.34	$251.68	$459.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.02 / $191.12 / $288.77	Facility		$174.02	$191.12	$288.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $230.00 / $440.08	Professional		$129.77	$230.00	$440.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $272.29 / $408.30	Professional		$194.00	$272.29	$408.30
United Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $193.29 / $342.59	Professional		$151.27	$193.29	$342.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $461.21 / $1,015.74 / $1,015.74	Facility		$461.21	$1,015.74	$1,015.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,657.35	Professional		$1,352.50	$1,352.50	$1,657.35