Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.18 / $97.72	Facility		$22.91	$28.18	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $34.67	Professional		$18.62	$22.91	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $66.07	Facility		$39.81	$39.81	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.30 / $75.86	Professional		$13.49	$26.30	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $75.86	Facility		$19.95	$45.71	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $44.67	Professional		$13.49	$19.05	$44.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $50.12	Facility		$17.38	$26.30	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $30.90	Professional		$29.51	$29.51	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.88 / $35.48	Facility		$17.38	$33.88	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $14.45 / $29.51	Professional		$6.46	$14.45	$29.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $218.78	Professional		$144.54	$144.54	$218.78