Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $229.09 / $398.11	Facility		$32.36	$229.09	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $154.88	Professional		$21.88	$57.54	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Professional		$22.91	$22.91	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $169.82	Professional		$34.67	$81.28	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $74.13 / $144.54	Professional		$26.30	$74.13	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $56.23 / $120.23	Facility		$24.55	$56.23	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $144.54	Professional		$33.11	$72.44	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $61.66 / $120.23	Professional		$23.44	$61.66	$120.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $501.19	Professional		$478.63	$501.19	$501.19