Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $114.82	Professional		$57.54	$81.28	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $134.90	Professional		$75.86	$100.00	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $263.03	Facility		$109.65	$131.83	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $112.20	Professional		$100.00	$100.00	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $93.33 / $93.33	Facility		$58.88	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $102.33	Professional		$67.61	$67.61	$102.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $91.20	Professional		$61.66	$66.07	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $114.82 / $194.98	Facility		$56.23	$114.82	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $104.71	Facility		$42.66	$63.10	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $95.50	Professional		$50.12	$64.57	$95.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,000.00	Professional		$741.31	$741.31	$1,000.00