Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $61.60 / $130.99	Facility		$28.42	$61.60	$130.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $41.97 / $91.30	Professional		$28.07	$41.97	$91.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $23.69 / $23.69	Professional		$23.69	$23.69	$23.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $74.13 / $88.95	Facility		$59.45	$74.13	$88.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $34.97 / $34.97	Professional		$26.32	$34.97	$34.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $48.65 / $92.52	Facility		$26.66	$48.65	$92.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $37.93 / $61.64	Professional		$16.35	$37.93	$61.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $45.00 / $81.44	Facility		$28.07	$45.00	$81.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $37.85	Professional		$35.11	$35.11	$37.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $37.02 / $67.20	Professional		$35.09	$37.02	$67.20
United Facility/Professional Facility Modifier Low / Median / High Price $46.01 / $49.71 / $58.85	Facility		$46.01	$49.71	$58.85
United Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $33.46 / $44.54	Professional		$22.27	$33.46	$44.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $167.46 / $167.46	Facility		$61.06	$167.46	$167.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $289.44	Professional		$289.44	$289.44	$289.44