Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $263.03	Professional		$138.04	$204.17	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $602.56	Facility		$251.19	$295.12	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $251.19	Professional		$223.87	$229.09	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $186.21 / $186.21	Facility		$134.90	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $239.88	Professional		$138.04	$138.04	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $229.09	Professional		$162.18	$177.83	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $457.09	Facility		$138.04	$269.15	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $239.88	Facility		$102.33	$151.36	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $223.87	Professional		$114.82	$151.36	$223.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,019.95	Professional		$2,290.87	$2,290.87	$3,019.95