Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $19.80 / $19.80	Facility		$14.52	$19.80	$19.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $18.43 / $31.56	Professional		$15.32	$18.43	$31.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Professional		$42.78	$42.78	$42.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $28.80 / $63.60	Professional		$20.74	$28.80	$63.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $15.61 / $44.73	Professional		$10.76	$15.61	$44.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $36.00 / $51.00	Facility		$20.74	$36.00	$51.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $32.40	Professional		$32.40	$32.40	$32.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $23.04 / $77.95	Professional		$14.98	$23.04	$77.95
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $20.74 / $45.30	Professional		$13.82	$20.74	$45.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $166.58 / $172.80	Professional		$166.58	$166.58	$172.80