Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $211.50 / $317.14	Facility		$72.73	$211.50	$317.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $72.73 / $237.00	Professional		$58.32	$72.73	$237.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $101.07 / $143.83	Professional		$79.55	$101.07	$143.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $129.88 / $174.14	Professional		$89.46	$129.88	$174.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $101.15 / $185.03	Professional		$72.26	$101.15	$185.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $81.08 / $120.49	Facility		$61.71	$81.08	$120.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $145.10 / $175.82	Professional		$79.11	$145.10	$175.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $109.96 / $292.91	Professional		$101.90	$109.96	$292.91
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $92.09 / $143.36	Professional		$68.54	$92.09	$143.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $158.15 / $219.30 / $349.84	Facility		$158.15	$219.30	$349.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $649.20 / $649.20 / $649.20	Professional		$649.20	$649.20	$649.20