Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.82 / $248.86 / $248.86	Facility		$84.82	$248.86	$248.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $92.70 / $181.51	Professional		$51.95	$92.70	$181.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $120.51 / $120.51	Professional		$93.48	$120.51	$120.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $138.13 / $199.28	Professional		$86.22	$138.13	$199.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $106.08 / $175.06	Professional		$69.23	$106.08	$175.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.87 / $102.55 / $179.16	Facility		$65.87	$102.55	$179.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $110.00 / $126.00	Professional		$96.00	$110.00	$126.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $96.32 / $165.00	Professional		$61.57	$96.32	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $98.54 / $165.00	Professional		$75.70	$98.54	$165.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $272.83 / $272.83 / $272.83	Facility		$272.83	$272.83	$272.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $414.94 / $554.37 / $554.37	Professional		$414.94	$554.37	$554.37