Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.35 / $387.35 / $668.20	Facility		$387.35	$387.35	$668.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $387.35 / $387.35	Professional		$210.07	$387.35	$387.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $364.96 / $398.13	Professional		$309.66	$364.96	$398.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.99 / $656.19 / $808.11	Facility		$402.99	$656.19	$808.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.98 / $331.78 / $364.96	Professional		$307.98	$331.78	$364.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.64 / $345.03 / $345.03	Facility		$273.64	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $513.00	Professional		$251.87	$345.03	$513.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $387.35 / $503.56	Facility		$142.47	$387.35	$503.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $300.77	Professional		$249.00	$249.00	$300.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.80 / $707.80 / $1,088.30	Professional		$707.80	$707.80	$1,088.30
United Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $220.69 / $334.84	Professional		$169.56	$220.69	$334.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $884.73 / $2,801.65 / $2,801.65	Facility		$884.73	$2,801.65	$2,801.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,730.68 / $3,730.68 / $4,423.64	Professional		$3,730.68	$3,730.68	$4,423.64