Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $56.23 / $117.49	Facility		$41.69	$56.23	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $85.11	Professional		$41.69	$41.69	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $41.69	Professional		$22.91	$26.30	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $95.50	Facility		$70.79	$85.11	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $89.13	Facility		$28.84	$41.69	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $52.48	Professional		$20.42	$23.44	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $44.67	Facility		$41.69	$41.69	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $41.69	Professional		$27.54	$31.62	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,951.21	Facility		$1,445.44	$1,445.44	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $50.12	Facility		$20.89	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $41.69	Professional		$19.05	$20.89	$41.69
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53