Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $40.84 / $249.44	Facility		$22.67	$40.84	$249.44
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $59.00 / $78.75 / $331.74	Facility	CQ	$59.00	$78.75	$331.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $22.68 / $69.73	Professional		$14.30	$22.68	$69.73
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $58.41 / $68.56 / $68.56	Professional	CO	$58.41	$68.56	$68.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.70 / $44.71 / $117.64	Professional	CQ	$17.70	$44.71	$117.64
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $23.50 / $23.50 / $24.29	Professional	CQ	$23.50	$23.50	$24.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $39.17 / $57.66	Facility		$32.64	$39.17	$57.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $20.89 / $42.55	Professional		$18.28	$20.89	$42.55
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 $20.49 / $32.29 / $108.10	Professional		$20.49	$32.29	$108.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $26.69 / $49.72	Facility		$21.21	$26.69	$49.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $27.85 / $45.00	Professional		$25.25	$27.85	$45.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $39.04 / $50.00	Professional		$24.06	$39.04	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $27.81 / $44.79	Professional		$23.81	$27.81	$44.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $104.42 / $143.31	Facility		$58.93	$104.42	$143.31
Wellcare Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $53.31 / $121.81	Facility	CQ	$42.50	$53.31	$121.81
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $171.17 / $228.30	Professional		$171.17	$171.17	$228.30