Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.21 / $205.06 / $475.58	Facility		$201.21	$205.06	$475.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $205.06 / $316.66	Professional		$185.11	$205.06	$316.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $287.64 / $448.00	Professional		$282.14	$287.64	$448.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $231.00 / $649.16	Professional		$188.90	$231.00	$649.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.35 / $307.60 / $562.64	Professional		$216.35	$307.60	$562.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.68 / $229.99 / $315.79	Facility		$187.68	$229.99	$315.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $252.88 / $286.00	Professional		$185.24	$252.88	$286.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $329.67 / $406.01	Professional		$189.69	$329.67	$406.01
United Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $261.58 / $530.57	Professional		$197.96	$261.58	$530.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $407.33 / $1,002.77 / $1,002.77	Facility		$407.33	$1,002.77	$1,002.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,273.63 / $1,659.75 / $1,693.73	Professional		$1,273.63	$1,659.75	$1,693.73