Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $110.21 / $203.18	Facility		$69.23	$110.21	$203.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $80.01 / $166.85	Professional		$58.39	$80.01	$166.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $110.10 / $128.44	Professional		$81.64	$110.10	$128.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $116.83 / $164.18	Professional		$86.09	$116.83	$164.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $92.74 / $153.30	Professional		$61.95	$92.74	$153.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $84.14 / $137.46	Facility		$62.00	$84.14	$137.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $92.61 / $111.68 / $161.21	Facility	50	$92.61	$111.68	$161.21
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $12.40 / $15.04 / $21.64	Facility	80	$12.40	$15.04	$21.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $8.68 / $10.49 / $15.05	Facility	AS	$8.68	$10.49	$15.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $75.18 / $170.75	Professional		$52.00	$75.18	$170.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $114.31 / $145.38	Professional		$71.56	$114.31	$145.38
United Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $82.36 / $151.59	Professional		$59.82	$82.36	$151.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $385.75	Facility		$172.40	$172.40	$385.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $17.23 / $17.23 / $38.58	Facility	AS	$17.23	$17.23	$38.58
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $459.05 / $459.05 / $459.05	Professional		$459.05	$459.05	$459.05