Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $115.04 / $416.30	Facility		$47.52	$115.04	$416.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $146.13 / $197.54	Professional		$50.90	$146.13	$197.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $148.15 / $148.15	Professional		$148.15	$148.15	$148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.46 / $632.39 / $632.39	Facility		$521.46	$632.39	$632.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $111.11 / $172.84	Professional		$111.11	$111.11	$172.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.87 / $195.17 / $648.54	Facility		$106.87	$195.17	$648.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $236.23 / $322.02	Professional		$59.04	$236.23	$322.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.91 / $197.54 / $237.04	Facility		$167.91	$197.54	$237.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $215.23 / $215.23	Professional		$160.50	$215.23	$215.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $648.00 / $648.00	Facility		$648.00	$648.00	$648.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $110.25 / $246.92	Professional		$103.71	$110.25	$246.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $395.07 / $1,172.86 / $1,172.86	Facility		$395.07	$1,172.86	$1,172.86