Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $80.81 / $371.44	Facility		$30.89	$80.81	$371.44
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $51.32 / $68.56 / $123.50	Facility	CO	$51.32	$68.56	$123.50
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $26.46 / $64.77 / $190.94	Facility	CQ	$26.46	$64.77	$190.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $30.89 / $77.15	Professional		$15.84	$30.89	$77.15
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 $29.06 / $52.33 / $68.56	Professional	CQ	$29.06	$52.33	$68.56
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $54.48 / $54.48 / $54.48	Professional	CQ	$54.48	$54.48	$54.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $65.05 / $80.11	Facility		$43.52	$65.05	$80.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $26.42 / $49.92	Professional		$21.76	$26.42	$49.92
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 $23.19 / $38.92 / $111.17	Professional		$23.19	$38.92	$111.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $31.91 / $59.48	Facility		$27.00	$31.91	$59.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.07 / $31.91	Professional		$20.00	$28.07	$31.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $52.52 / $63.23	Professional		$30.25	$52.52	$63.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $34.72 / $47.14	Professional		$28.77	$34.72	$47.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $128.80 / $185.25	Facility		$95.40	$128.80	$185.25
Wellcare Facility/Professional Facility Modifier CO Low / Median / High Price $42.71 / $65.76 / $157.46	Facility	CO	$42.71	$65.76	$157.46
Wellcare Facility/Professional Facility Modifier CQ Low / Median / High Price $42.71 / $65.76 / $157.46	Facility	CQ	$42.71	$65.76	$157.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $289.41 / $293.10	Professional		$289.41	$289.41	$293.10