Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $912.01	Facility		$144.54	$275.42	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $288.40	Professional		$38.90	$47.86	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $77.62	Professional		$61.66	$75.86	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $104.71	Professional		$35.48	$50.12	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $123.03	Professional		$41.69	$66.07	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $48.98 / $83.18	Facility		$40.74	$48.98	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $87.10	Professional		$40.74	$51.29	$87.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $354.81	Professional		$275.42	$354.81	$354.81