Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $104.46 / $527.66	Facility		$28.22	$104.46	$527.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $43.42 / $91.77	Professional		$28.07	$43.42	$91.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $23.69 / $65.15	Professional		$23.69	$23.69	$65.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $102.26 / $102.26	Facility		$73.20	$102.26	$102.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $36.33 / $76.97	Professional		$26.32	$36.33	$76.97
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 / $32.40 / $68.06	Professional		$16.35	$32.40	$68.06
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 / $35.09 / $37.02	Professional		$35.09	$35.09	$37.02
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $21.05 / $49.04	Professional		$17.13	$21.05	$49.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $167.46 / $212.00	Facility		$73.45	$167.46	$212.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $426.00 / $426.00	Professional		$426.00	$426.00	$426.00