Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $33,841.46 / $96,683.58	Facility		$213.80	$33,841.46	$96,683.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $258.64 / $365.43	Professional		$213.80	$258.64	$365.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.52 / $258.52	Professional		$258.52	$258.52	$258.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.02 / $390.70 / $476.74	Facility		$259.02	$390.70	$476.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $265.83 / $292.41	Professional		$148.94	$265.83	$292.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $258.64 / $497.61	Facility		$244.00	$258.64	$497.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $304.22	Professional		$258.64	$258.64	$304.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $212.95 / $322.08	Facility		$98.99	$212.95	$322.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $265.91 / $361.00	Professional		$98.99	$265.91	$361.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $425.31 / $495.30	Professional		$363.60	$425.31	$495.30
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $274.16 / $310.37	Professional		$258.64	$274.16	$310.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $344.04 / $1,293.20 / $1,293.20	Facility		$344.04	$1,293.20	$1,293.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $6,942.60 / $6,942.60 / $6,942.60	Professional		$6,942.60	$6,942.60	$6,942.60