Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $213.80	Professional		$77.62	$97.72	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $199.53	Professional		$87.10	$91.20	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $223.87	Professional		$125.89	$190.55	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $104.71	Professional		$81.28	$81.28	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $151.36 / $190.55	Professional		$0.60	$151.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $190.55	Professional		$83.18	$109.65	$190.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $758.58	Professional		$616.60	$758.58	$758.58