Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $97.67 / $168.44	Facility		$97.67	$97.67	$168.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $97.67 / $97.67	Professional		$44.62	$97.67	$97.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $67.70 / $67.70	Professional		$67.70	$67.70	$67.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $107.31 / $203.76	Facility		$89.42	$107.31	$203.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $83.66 / $83.66	Professional		$63.58	$83.66	$83.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $71.02 / $71.02	Facility		$68.98	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $71.02 / $131.63	Professional		$51.84	$71.02	$131.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $97.14 / $126.97	Facility		$27.45	$97.14	$126.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $75.81	Professional		$63.00	$63.00	$75.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $102.30 / $157.19	Professional		$102.30	$102.30	$157.19
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $52.94 / $78.55	Professional		$37.10	$52.94	$78.55
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $480.51 / $480.51	Facility		$174.29	$480.51	$480.51
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $511.38 / $511.38 / $639.23	Professional		$511.38	$511.38	$639.23