Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $212.11 / $566.00	Facility		$166.40	$212.11	$566.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.79 / $192.53 / $437.88	Professional		$137.79	$192.53	$437.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.83 / $272.52 / $349.04	Professional		$192.83	$272.52	$349.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.22 / $314.35 / $457.24	Professional		$225.22	$314.35	$457.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.64 / $248.07 / $431.86	Professional		$168.64	$248.07	$431.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $208.72 / $325.38	Facility		$174.00	$208.72	$325.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $207.02 / $479.55	Professional		$135.00	$207.02	$479.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $250.82 / $322.23	Professional		$165.15	$250.82	$322.23
United Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $221.23 / $382.00	Professional		$166.87	$221.23	$382.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $378.19 / $378.19 / $845.03	Facility		$378.19	$378.19	$845.03
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,215.07 / $1,215.07 / $1,215.07	Professional		$1,215.07	$1,215.07	$1,215.07