Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $100.00	Professional		$57.54	$79.43	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $123.03	Professional		$75.86	$112.20	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $269.15	Facility		$125.89	$199.53	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $114.82	Professional		$102.33	$104.71	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $89.13	Facility		$60.26	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $97.72	Professional		$64.57	$64.57	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $81.28	Professional		$75.86	$81.28	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $109.65 / $190.55	Facility		$56.23	$109.65	$190.55
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 $50.12 / $91.20 / $109.65	Facility		$50.12	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $95.50	Professional		$52.48	$67.61	$95.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Professional		$794.33	$794.33	$954.99