Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.11 / $219.19 / $74,159.74	Facility		$118.11	$219.19	$74,159.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $136.66 / $164.84	Professional		$118.11	$136.66	$164.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.26 / $222.34 / $277.60	Facility		$140.26	$222.34	$277.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $143.94 / $179.93	Professional		$143.94	$143.94	$179.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $136.66 / $159.50	Facility		$128.93	$136.66	$159.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $159.53	Professional		$136.66	$136.66	$159.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $118.11 / $175.48	Facility		$105.24	$118.11	$175.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $178.01 / $193.00	Professional		$105.24	$178.01	$193.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $224.73 / $261.72	Professional		$210.10	$224.73	$261.72
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $164.00	Professional		$136.66	$144.87	$164.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $181.79 / $683.35 / $683.35	Facility		$181.79	$683.35	$683.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $586.87 / $586.87 / $586.87	Professional		$586.87	$586.87	$586.87