Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $25.01 / $83.88	Facility		$22.35	$25.01	$83.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $30.94 / $91.12	Professional		$17.70	$30.94	$91.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $26.61 / $49.40	Professional		$13.31	$26.61	$49.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $38.44 / $73.87	Professional		$23.95	$38.44	$73.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $24.61 / $60.83	Professional		$12.41	$24.61	$60.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $48.00 / $65.00	Facility		$25.02	$48.00	$65.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $28.78 / $28.78	Professional		$28.78	$28.78	$28.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $26.61 / $95.92	Professional		$17.30	$26.61	$95.92
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $26.61 / $58.10	Professional		$15.97	$26.61	$58.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $126.40 / $126.40	Facility		$126.40	$126.40	$126.40
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $3,255.68 / $3,255.68 / $3,255.68	Professional		$3,255.68	$3,255.68	$3,255.68