Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $112.33 / $112.33	Facility		$63.39	$112.33	$112.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $112.33 / $202.86	Professional		$64.05	$112.33	$202.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $97.43 / $97.43	Professional		$97.43	$97.43	$97.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $72.48 / $162.05	Professional		$61.74	$72.48	$162.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $102.98 / $228.10	Professional		$39.24	$102.98	$228.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $89.16 / $141.54	Facility		$59.09	$89.16	$141.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $63.40 / $63.40	Professional		$63.40	$63.40	$63.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $117.70 / $181.92	Professional		$90.95	$117.70	$181.92
United Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $93.47 / $189.40	Professional		$56.12	$93.47	$189.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $224.67 / $234.90 / $642.39	Facility		$224.67	$234.90	$642.39
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $758.33 / $758.33 / $995.25	Professional		$758.33	$758.33	$995.25