Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $83.97 / $144.86	Facility		$83.97	$83.97	$144.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $83.97 / $105.60	Professional		$45.54	$83.97	$105.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.36 / $142.25 / $175.18	Facility		$87.36	$142.25	$175.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $71.93 / $76.72	Professional		$64.73	$71.93	$76.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $67.41 / $122.63	Professional		$43.74	$67.41	$122.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $75.06 / $100.90	Facility		$30.89	$75.06	$100.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $63.89	Professional		$24.00	$24.00	$63.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $103.57 / $160.84	Professional		$93.65	$103.57	$160.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $47.84 / $72.06	Professional		$31.89	$47.84	$72.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $152.12 / $474.60 / $474.60	Facility		$152.12	$474.60	$474.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $521.73 / $521.73 / $719.25	Professional		$521.73	$521.73	$719.25