Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $457.09	Professional		$251.19	$371.54	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $588.84	Professional		$436.52	$512.86	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $1,174.90	Facility		$478.63	$575.44	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $446.68 / $446.68	Professional		$436.52	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $380.19	Facility		$263.03	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $467.74	Professional		$275.42	$275.42	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $389.05	Professional		$316.23	$346.74	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $851.14	Facility		$257.04	$489.78	$851.14
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 $245.47 / $436.52 / $467.74	Facility		$245.47	$436.52	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $446.68	Professional		$245.47	$295.12	$446.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,888.44	Professional		$3,890.45	$3,890.45	$5,888.44