Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $77.62	Facility		$30.90	$40.74	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $89.13	Professional		$20.89	$30.20	$89.13
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $77.62 / $87.10 / $204.17	Professional	CQ	$77.62	$87.10	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $85.11	Facility		$47.86	$57.54	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $47.86	Professional		$24.55	$28.18	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $60.26	Professional		$25.70	$31.62	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $34.67 / $61.66	Facility		$25.12	$34.67	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $57.54	Professional		$52.48	$52.48	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $50.12	Professional		$30.90	$38.02	$50.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $309.03	Professional		$234.42	$309.03	$309.03