Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.90 / $46.90 / $80.90	Facility		$46.90	$46.90	$80.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $46.90 / $46.90	Professional		$22.87	$46.90	$46.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $48.21 / $48.21	Professional		$48.21	$48.21	$48.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $51.52 / $97.84	Facility		$42.94	$51.52	$97.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $40.17 / $44.19	Professional		$37.29	$40.17	$44.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $39.15 / $39.15	Facility		$33.13	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $70.13	Professional		$28.59	$39.15	$70.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $46.90 / $63.01	Facility		$17.25	$46.90	$63.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $38.00	Professional		$30.00	$30.00	$38.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $66.59 / $102.40	Professional		$66.59	$66.59	$102.40
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $26.72 / $41.92	Professional		$20.53	$26.72	$41.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $94.71 / $339.20 / $339.20	Facility		$94.71	$339.20	$339.20
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $547.70 / $547.70 / $547.70	Professional		$547.70	$547.70	$547.70