Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $117.18 / $301.17	Facility		$43.74	$117.18	$301.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $45.31 / $58.49	Professional		$13.85	$45.31	$58.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $35.32 / $35.32	Professional		$33.90	$35.32	$35.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $86.16 / $174.63	Facility		$86.00	$86.16	$174.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $33.06 / $52.30	Professional		$22.89	$33.06	$52.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $53.80 / $133.44	Facility		$34.71	$53.80	$133.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $37.36 / $72.79	Professional		$32.28	$37.36	$72.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $46.10 / $99.47	Facility		$39.35	$46.10	$99.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $72.83 / $93.00	Professional		$40.81	$72.83	$93.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $748.19 / $748.19 / $748.19	Facility		$748.19	$748.19	$748.19
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $35.52 / $69.38	Professional		$21.36	$35.52	$69.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $242.94 / $242.94	Facility		$125.36	$242.94	$242.94