Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $24.22 / $24.22	Facility		$24.22	$24.22	$24.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $24.22 / $28.97	Professional		$19.09	$24.22	$28.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Professional		$50.16	$50.16	$50.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $48.80 / $66.70	Professional		$30.60	$48.80	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $29.08 / $29.08	Facility		$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $112.26 / $128.71	Professional		$34.86	$112.26	$128.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $24.91 / $29.06	Facility		$23.48	$24.91	$29.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $24.91 / $24.91	Professional		$24.91	$24.91	$24.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $68.52 / $68.52	Professional		$68.52	$68.52	$68.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,994.00 / $7,778.00	Facility		$1,064.00	$3,994.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $28.26 / $62.29	Professional		$21.22	$28.26	$62.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $62.04 / $124.40	Facility		$50.00	$62.04	$124.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $201.60 / $201.60	Professional		$173.04	$201.60	$201.60