Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $190.55	Professional		$69.18	$117.49	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $208.93	Professional		$57.54	$114.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $288.40	Facility		$120.23	$144.54	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $120.23	Professional		$109.65	$112.20	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $97.72	Facility		$64.57	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $120.23	Professional		$70.79	$70.79	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $114.82	Professional		$75.86	$81.28	$114.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $128.82 / $218.78	Facility		$63.10	$128.82	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $141.25 / $151.36	Professional		$0.60	$141.25	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $117.49	Facility		$48.98	$72.44	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $109.65	Professional		$56.23	$72.44	$109.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,230.27	Professional		$851.14	$851.14	$1,230.27