Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $126.00 / $142.00	Facility		$20.97	$126.00	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $24.60	Professional		$17.97	$19.57	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $22.32 / $24.88	Professional		$17.79	$22.32	$24.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $33.84 / $75.42	Professional		$25.78	$33.84	$75.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Facility		$38.77	$38.77	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.00 / $34.47	Professional		$19.00	$23.00	$34.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $25.16 / $37.38	Facility		$19.00	$25.16	$37.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $49.00	Professional		$25.00	$25.00	$49.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $17.51 / $17.51	Professional		$11.05	$17.51	$17.51
United Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $43.48 / $89.27	Professional		$33.29	$43.48	$89.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $183.45	Facility		$80.00	$80.00	$183.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $274.35 / $274.35	Professional		$180.95	$274.35	$274.35