Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $145.62 / $884.40	Facility		$38.64	$145.62	$884.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $38.64 / $114.63	Professional		$16.39	$38.64	$114.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $43.48 / $79.04	Professional		$31.43	$43.48	$79.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $29.12 / $71.95	Professional		$14.36	$29.12	$71.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $45.00 / $63.67	Professional		$27.00	$45.00	$63.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $37.25 / $60.32	Facility		$18.41	$37.25	$60.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $33.76 / $52.00	Professional		$20.43	$33.76	$52.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $45.21 / $59.57	Professional		$33.57	$45.21	$59.57
United Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $48.43 / $101.44	Professional		$37.34	$48.43	$101.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $85.69 / $85.69	Facility		$85.69	$85.69	$85.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $139.88 / $303.89	Professional		$131.76	$139.88	$303.89