Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $141.25 / $891.25	Facility		$25.70	$141.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $58.88 / $173.78	Professional		$14.13	$58.88	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $64.57 / $125.89	Professional		$13.49	$64.57	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $100.00	Professional		$21.88	$54.95	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $46.77 / $104.71	Professional		$18.62	$46.77	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Professional		$53.70	$53.70	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $43.65 / $87.10	Facility		$15.85	$43.65	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $109.65	Professional		$22.39	$24.55	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,949.84	Facility		$173.78	$758.58	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $38.90 / $79.43	Professional		$15.49	$38.90	$79.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,659.59 / $1,659.59	Facility		$56.23	$1,659.59	$1,659.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Professional		$501.19	$501.19	$588.84