Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $35.89	Facility		$21.28	$21.28	$35.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $23.33 / $61.56	Professional		$19.37	$23.33	$61.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $34.22 / $38.61	Professional		$28.05	$34.22	$38.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $36.08 / $72.90	Professional		$19.55	$36.08	$72.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $23.94 / $23.94	Facility		$23.94	$23.94	$23.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $34.40 / $56.43	Professional		$23.88	$34.40	$56.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $25.54 / $69.00	Facility		$20.80	$25.54	$69.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $30.00 / $39.90	Professional		$24.96	$30.00	$39.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $33.42 / $40.07	Professional		$20.39	$33.42	$40.07
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $26.34 / $46.18	Professional		$19.61	$26.34	$46.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $84.57 / $102.46	Facility		$49.44	$84.57	$102.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $250.96 / $250.96	Professional		$250.96	$250.96	$250.96