Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $208.18 / $2,289.98	Facility		$79.05	$208.18	$2,289.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $83.52 / $132.87	Professional		$66.67	$83.52	$132.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $88.21 / $141.81	Professional		$73.95	$88.21	$141.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $81.03 / $170.16	Professional		$60.73	$81.03	$170.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $91.00 / $165.37	Professional		$65.09	$91.00	$165.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $95.58 / $132.31	Facility		$73.31	$95.58	$132.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $88.39 / $119.00	Professional		$74.09	$88.39	$119.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $94.43 / $125.84	Professional		$80.26	$94.43	$125.84
United Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $102.38 / $223.61	Professional		$78.73	$102.38	$223.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $362.05 / $362.05 / $362.05	Facility		$362.05	$362.05	$362.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $590.33 / $680.85	Professional		$492.36	$590.33	$680.85