Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.82 / $229.09	Facility		$83.18	$128.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $213.80	Professional		$57.54	$89.13	$213.80
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $93.33 / $144.54 / $144.54	Professional	CQ	$93.33	$144.54	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	CQ	$120.23	$120.23	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $190.55	Facility		$95.50	$114.82	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $141.25	Professional		$66.07	$75.86	$141.25
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 $66.07 / $74.13 / $147.91	Professional		$66.07	$74.13	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $83.18 / $125.89	Facility		$61.66	$83.18	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $295.12	Facility		$263.03	$269.15	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $158.49	Professional		$144.54	$144.54	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $125.89	Professional		$70.79	$81.28	$125.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $831.76	Professional		$630.96	$831.76	$831.76