Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $67.23 / $95.37	Facility		$27.35	$67.23	$95.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $28.18 / $57.20	Professional		$17.53	$28.18	$57.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $21.91 / $21.91	Professional		$21.04	$21.91	$21.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $131.58 / $131.58	Facility		$72.27	$131.58	$131.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $22.22	Professional		$15.39	$15.39	$22.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $33.39 / $89.85	Facility		$21.84	$33.39	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $23.15 / $49.04	Professional		$19.97	$23.15	$49.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $28.60 / $57.30	Facility		$26.17	$28.60	$57.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $45.19 / $57.30	Professional		$25.32	$45.19	$57.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $162.80 / $162.80	Facility		$162.80	$162.80	$162.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $22.04 / $43.04	Professional		$15.39	$22.04	$43.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $162.40 / $162.40	Facility		$80.00	$162.40	$162.40