Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $37.56 / $144.47	Facility		$23.03	$37.56	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $32.44 / $52.31	Professional		$26.97	$32.44	$52.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Professional		$40.54	$40.54	$40.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $84.59 / $116.03	Facility		$68.69	$84.59	$116.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $36.50 / $80.45	Professional		$29.61	$36.50	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $56.36 / $106.76	Facility		$30.81	$56.36	$106.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $30.06 / $71.39	Professional		$18.79	$30.06	$71.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $33.38 / $60.83	Facility		$32.44	$33.38	$60.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $33.38 / $156.00	Professional		$33.38	$33.38	$156.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,121.36 / $2,121.36 / $2,121.36	Facility		$2,121.36	$2,121.36	$2,121.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $42.78 / $115.07	Professional		$26.36	$42.78	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $24.33 / $47.76	Professional		$16.69	$24.33	$47.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $192.61 / $192.61	Facility		$70.56	$192.61	$192.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $202.75 / $304.13	Professional		$202.75	$202.75	$304.13