Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $107.77 / $274.22	Facility		$55.78	$107.77	$274.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $60.62 / $80.56	Professional		$53.89	$60.62	$80.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $46.78 / $46.78	Professional		$18.52	$46.78	$46.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.53 / $280.89 / $280.89	Facility		$140.53	$280.89	$280.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $67.36 / $85.05	Professional		$43.78	$67.36	$85.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $71.27 / $177.04	Facility		$45.97	$71.27	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $49.58 / $96.54	Professional		$42.76	$49.58	$96.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.89 / $61.07 / $131.75	Facility		$53.89	$61.07	$131.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $96.47 / $123.00	Professional		$62.19	$96.47	$123.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.87 / $239.87 / $239.87	Facility		$239.87	$239.87	$239.87
United Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $47.06 / $91.89	Professional		$33.68	$47.06	$91.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $321.95 / $321.95	Facility		$141.00	$321.95	$321.95