Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.57 / $135.57 / $233.84	Facility		$135.57	$135.57	$233.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $135.57 / $135.57	Professional		$65.25	$135.57	$135.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $154.82 / $154.82	Professional		$154.82	$154.82	$154.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $148.93 / $282.83	Facility		$124.11	$148.93	$282.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $116.12 / $123.86	Professional		$104.50	$116.12	$123.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $95.76	Facility		$81.70	$86.88	$95.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $157.13	Professional		$63.42	$86.88	$157.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $135.49 / $176.24	Facility		$43.64	$135.49	$176.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $87.00 / $105.26	Professional		$87.00	$87.00	$105.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $164.20 / $252.50	Professional		$164.20	$164.20	$252.50
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $76.55 / $112.00	Professional		$55.94	$76.55	$112.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $858.09 / $858.09	Facility		$241.90	$858.09	$858.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,314.05 / $1,314.05 / $1,314.05	Professional		$1,314.05	$1,314.05	$1,314.05