Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $25.50 / $1,615.00	Facility		$15.99	$25.50	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $17.91 / $44.04	Professional		$14.82	$17.91	$44.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $23.21 / $40.49	Professional		$16.79	$23.21	$40.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $22.37 / $40.68	Professional		$17.59	$22.37	$40.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $21.84 / $36.00	Facility		$15.99	$21.84	$36.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $18.60 / $28.90	Professional		$12.60	$18.60	$28.90
United Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $896.00 / $2,229.00	Facility		$361.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $18.48 / $40.36	Professional		$15.21	$18.48	$40.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $78.95 / $11,500.00	Facility		$78.95	$78.95	$11,500.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00