Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $257.88 / $257.88	Facility		$45.05	$257.88	$257.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $48.24 / $122.11	Professional		$34.96	$48.24	$122.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $70.77 / $72.16	Professional		$44.65	$70.77	$72.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $91.26 / $93.98	Facility		$76.31	$91.26	$93.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $38.59 / $41.16	Professional		$35.82	$38.59	$41.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $54.46 / $112.33	Facility		$42.77	$54.46	$112.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $74.09 / $88.11	Professional		$54.46	$74.09	$88.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $56.68 / $88.05	Professional		$50.24	$56.68	$88.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $24.76 / $40.27	Professional		$19.45	$24.76	$40.27
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $133.76 / $317.45	Facility		$104.44	$133.76	$317.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $760.72 / $760.72	Professional		$402.00	$760.72	$760.72