Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.12 / $258.12 / $445.28	Facility		$258.12	$258.12	$445.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $258.12 / $258.12	Professional		$130.16	$258.12	$258.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $175.64 / $265.30	Professional		$175.64	$175.64	$265.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.34 / $283.61 / $538.50	Facility		$236.34	$283.61	$538.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $221.08 / $221.09	Professional		$205.23	$221.08	$221.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.35 / $190.69 / $190.69	Facility		$182.35	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $341.63	Professional		$139.19	$190.69	$341.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $258.12 / $335.56	Facility		$94.94	$258.12	$335.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $200.43	Professional		$166.00	$166.00	$200.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $467.10 / $725.20	Professional		$467.10	$467.10	$725.20
United Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $147.07 / $225.05	Professional		$112.99	$147.07	$225.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $589.55 / $1,866.94 / $1,866.94	Facility		$589.55	$1,866.94	$1,866.94
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,966.23 / $1,966.23 / $2,947.80	Professional		$1,966.23	$1,966.23	$2,947.80