Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $75.86	Facility		$18.20	$27.54	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $30.90	Professional		$15.14	$19.05	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $89.13	Facility		$38.90	$63.10	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $52.48	Professional		$16.98	$23.99	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $35.48 / $60.26	Facility		$15.49	$35.48	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $44.67	Professional		$10.47	$19.95	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.84 / $52.48	Facility		$18.20	$28.84	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $23.99	Professional		$22.91	$22.91	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $34.67	Facility		$17.38	$26.92	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $31.62	Professional		$9.55	$14.13	$31.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83