Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $208.18 / $262.32	Facility		$118.69	$208.18	$262.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $110.54 / $151.11	Professional		$90.15	$110.54	$151.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $113.76 / $199.08	Professional		$104.32	$113.76	$199.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $113.76 / $227.95	Professional		$87.79	$113.76	$227.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $119.00 / $217.79	Professional		$87.12	$119.00	$217.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.64 / $125.96 / $178.31	Facility		$97.64	$125.96	$178.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $117.39 / $168.00	Professional		$97.57	$117.39	$168.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $126.32 / $174.92	Professional		$105.52	$126.32	$174.92
United Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $136.06 / $288.39	Professional		$107.70	$136.06	$288.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $531.86 / $531.86 / $531.86	Facility		$531.86	$531.86	$531.86
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $671.69 / $880.58 / $979.58	Professional		$671.69	$880.58	$979.58