Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.56 / $393.56 / $678.92	Facility		$393.56	$393.56	$678.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.61 / $393.56 / $464.00	Professional		$187.61	$393.56	$464.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $337.09 / $337.09	Professional		$138.16	$337.09	$337.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $432.41 / $821.07	Facility		$360.34	$432.41	$821.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.91 / $337.09 / $359.56	Professional		$312.91	$337.09	$359.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $278.02	Facility		$225.12	$237.10	$278.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $439.88	Professional		$173.08	$237.10	$439.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $393.56 / $511.63	Facility		$122.21	$393.56	$511.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $253.00 / $305.61	Professional		$253.00	$253.00	$305.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.10 / $487.10 / $748.90	Professional		$487.10	$487.10	$748.90
United Facility/Professional Professional Modifier Low / Median / High Price $156.68 / $220.85 / $325.13	Professional		$156.68	$220.85	$325.13
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $702.27 / $2,403.12 / $2,403.12	Facility		$702.27	$2,403.12	$2,403.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,428.42 / $2,428.42 / $3,044.40	Professional		$2,428.42	$2,428.42	$3,044.40