Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $71.45 / $515.62	Facility		$24.64	$71.45	$515.62
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $58.50 / $258.02 / $258.02	Facility	CO	$58.50	$258.02	$258.02
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $69.44 / $183.12 / $434.55	Facility	CQ	$69.44	$183.12	$434.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $24.64 / $104.03	Professional		$15.37	$24.64	$104.03
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $58.41 / $68.56 / $137.12	Professional	CO	$58.41	$68.56	$137.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $42.64 / $68.72 / $264.81	Professional	CQ	$42.64	$68.72	$264.81
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $25.72 / $25.72 / $49.77	Professional	CQ	$25.72	$25.72	$49.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $41.95 / $62.64	Facility		$34.96	$41.95	$62.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $23.25 / $45.57	Professional		$19.36	$23.25	$45.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $186.00 / $186.00	Facility		$186.00	$186.00	$186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $33.71 / $108.10	Professional		$21.61	$33.71	$108.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $28.69 / $52.88	Facility		$22.74	$28.69	$52.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.95 / $29.73	Professional		$20.00	$26.95	$29.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $42.37 / $52.95	Professional		$25.22	$42.37	$52.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $30.21 / $45.34	Professional		$25.69	$30.21	$45.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $125.00 / $152.00	Facility		$79.48	$125.00	$152.00
Wellcare Facility/Professional Facility Modifier CO Low / Median / High Price $42.50 / $56.39 / $129.19	Facility	CO	$42.50	$56.39	$129.19
Wellcare Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $56.39 / $129.19	Facility	CQ	$42.50	$56.39	$129.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $186.26 / $241.95	Professional		$186.26	$186.26	$241.95