Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $123.03 / $549.54	Facility		$64.57	$123.03	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $199.53	Professional		$14.13	$14.13	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $40.74 / $42.66	Facility		$30.20	$40.74	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $16.98	Professional		$14.79	$14.79	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $16.98	Professional		$14.79	$14.79	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $33.88	Facility		$14.79	$17.78	$33.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $33.11	Professional		$23.44	$26.92	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $26.92	Facility		$17.78	$24.55	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.05	Professional		$14.79	$14.79	$19.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57