Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.54 / $233.50 / $233.50	Facility		$115.54	$233.50	$233.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $109.70 / $247.26	Professional		$70.04	$109.70	$247.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $116.08 / $204.61	Professional		$95.31	$116.08	$204.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $168.69 / $254.54	Professional		$99.06	$168.69	$254.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $134.00 / $228.28	Professional		$83.86	$134.00	$228.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $106.98 / $175.14	Facility		$83.43	$106.98	$175.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $150.00 / $166.00	Professional		$65.00	$150.00	$166.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $134.63 / $202.28	Professional		$100.37	$134.63	$202.28
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $129.57 / $232.73	Professional		$92.57	$129.57	$232.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $405.70 / $405.70 / $405.70	Facility		$405.70	$405.70	$405.70
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $526.12 / $743.11 / $743.11	Professional		$526.12	$743.11	$743.11