Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $371.54	Professional		$109.65	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $512.86	Professional		$104.71	$245.47	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $426.58	Professional		$117.49	$229.09	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $616.60	Professional		$288.40	$288.40	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $363.08	Professional		$165.96	$181.97	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $354.81	Professional		$104.71	$199.53	$354.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,584.89	Professional		$1,479.11	$1,479.11	$1,584.89