Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $45.28 / $95.68	Facility		$28.57	$45.28	$95.68
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $62.04 / $71.02 / $183.85	Facility	CQ	$62.04	$71.02	$183.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $27.26 / $56.86	Professional		$14.98	$27.26	$56.86
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $58.41 / $58.41 / $58.41	Professional	CO	$58.41	$58.41	$58.41
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.57 / $81.50 / $231.59	Professional	CQ	$28.57	$81.50	$231.59
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $31.78 / $31.78 / $48.23	Professional	CQ	$31.78	$31.78	$48.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $43.76 / $71.97	Facility		$36.46	$43.76	$71.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.62 / $47.52	Professional		$21.20	$24.62	$47.52
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 $22.59 / $35.65 / $111.17	Professional		$22.59	$35.65	$111.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $31.00 / $54.35	Facility		$24.28	$31.00	$54.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $28.10 / $31.09	Professional		$15.00	$28.10	$31.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $190.56 / $194.51 / $512.46	Facility		$190.56	$194.51	$512.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $48.58 / $58.92	Professional		$28.40	$48.58	$58.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $32.64 / $51.36	Professional		$27.69	$32.64	$51.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $122.90 / $169.15	Facility		$73.68	$122.90	$169.15
Wellcare Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $62.75 / $143.78	Facility	CQ	$42.50	$62.75	$143.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $216.50 / $268.95	Professional		$216.50	$216.50	$268.95