Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $31.14 / $69.91	Facility		$19.45	$31.14	$69.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $32.70 / $57.43	Professional		$19.45	$32.70	$57.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $29.55 / $29.55	Professional		$29.55	$29.55	$29.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $42.93 / $43.55	Facility		$42.93	$42.93	$43.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $61.93 / $120.45	Professional		$34.47	$61.93	$120.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $50.79 / $89.15	Professional		$27.96	$50.79	$89.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $46.95 / $85.00	Facility		$19.94	$46.95	$85.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $59.50	Professional		$36.00	$36.00	$59.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $38.60 / $135.10	Professional		$3.00	$38.60	$135.10
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $832.00 / $1,928.00	Facility		$206.00	$832.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $49.72 / $84.96	Professional		$27.00	$49.72	$84.96
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $96.17 / $96.17	Facility		$55.00	$96.17	$96.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $279.68 / $330.04	Professional		$149.12	$279.68	$330.04