Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.20 / $290.20 / $290.20	Facility		$290.20	$290.20	$290.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $290.20 / $431.00	Professional		$141.88	$290.20	$431.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $248.57 / $332.00	Professional		$75.09	$248.57	$332.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.39 / $491.62 / $605.44	Facility		$307.39	$491.62	$605.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $248.57 / $265.14	Professional		$230.74	$248.57	$265.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $361.50	Professional		$156.34	$214.16	$361.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $290.20 / $348.25	Facility		$178.37	$290.20	$348.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $259.39 / $259.39	Professional		$259.39	$259.39	$259.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,621.72 / $2,621.72 / $2,621.72	Facility		$2,621.72	$2,621.72	$2,621.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.66 / $365.10 / $567.19	Professional		$323.66	$365.10	$567.19
United Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $154.24 / $170.91	Facility		$122.08	$154.24	$170.91
United Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $163.87 / $259.39	Professional		$126.18	$163.87	$259.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $623.88 / $1,728.76 / $1,728.76	Facility		$623.88	$1,728.76	$1,728.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,058.80 / $2,427.15 / $2,427.15	Professional		$2,058.80	$2,427.15	$2,427.15