Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $85.86 / $182.28	Facility		$21.73	$85.86	$182.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $24.63 / $54.00	Professional		$21.73	$24.63	$54.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $18.87 / $18.87	Professional		$18.87	$18.87	$18.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $93.30 / $105.38	Facility		$45.94	$93.30	$105.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $17.66 / $30.37	Professional		$12.23	$17.66	$30.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $28.74 / $71.17	Facility		$18.54	$28.74	$71.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.05 / $39.24	Professional		$17.14	$20.05	$39.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $24.64 / $53.13	Facility		$21.74	$24.64	$53.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $38.90 / $50.00	Professional		$24.30	$38.90	$50.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $783.41 / $783.41 / $1,324.40	Facility		$783.41	$783.41	$1,324.40
United Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $18.98 / $37.07	Professional		$13.59	$18.98	$37.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $129.72 / $129.72	Facility		$80.29	$129.72	$129.72