Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $309.03	Professional		$151.36	$199.53	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $707.95	Facility		$331.13	$524.81	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $288.40	Professional		$269.15	$275.42	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $199.53	Facility		$75.86	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $407.38	Professional		$144.54	$144.54	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $229.09	Professional		$165.96	$177.83	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $309.03 / $524.81	Facility		$151.36	$309.03	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $346.74 / $371.54	Professional		$0.60	$346.74	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $154.88 / $288.40	Facility		$107.15	$154.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $251.19	Professional		$131.83	$173.78	$251.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,570.40	Professional		$1,778.28	$1,778.28	$2,570.40