Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $44.60 / $147.12	Facility		$32.36	$44.60	$147.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $41.08 / $58.31	Professional		$21.24	$41.08	$58.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $44.97 / $67.91	Professional		$38.24	$44.97	$67.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $32.97 / $81.48	Professional		$18.73	$32.97	$81.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $48.00 / $69.89	Professional		$30.85	$48.00	$69.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $41.08 / $65.19	Facility		$23.70	$41.08	$65.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $36.74 / $58.00	Professional		$26.29	$36.74	$58.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $49.11 / $65.93	Professional		$39.13	$49.11	$65.93
United Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $53.73 / $115.46	Professional		$41.77	$53.73	$115.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $113.24 / $113.24 / $113.24	Facility		$113.24	$113.24	$113.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $188.10 / $346.50	Professional		$147.91	$188.10	$346.50