Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $63.38 / $203.62	Facility		$15.53	$63.38	$203.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.73 / $26.19	Professional		$11.22	$15.73	$26.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.54 / $13.84	Professional		$12.04	$12.54	$13.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $62.02 / $70.03	Facility		$30.54	$62.02	$70.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $11.74	Professional		$8.13	$8.13	$11.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $19.10 / $47.15	Facility		$12.33	$19.10	$47.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.31 / $25.81	Professional		$11.48	$13.31	$25.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.37 / $35.32	Facility		$14.45	$16.37	$35.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $25.86 / $33.00	Professional		$14.28	$25.86	$33.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $642.09 / $677.73 / $698.03	Facility		$642.09	$677.73	$698.03
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.62 / $24.63	Professional		$9.02	$12.62	$24.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $86.10 / $86.10	Facility		$50.71	$86.10	$86.10