Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $28.61 / $28.61	Facility		$23.83	$28.61	$28.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $34.25 / $98.56	Professional		$24.26	$34.25	$98.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $36.43 / $123.52	Professional		$36.43	$36.43	$123.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $94.58 / $139.36	Professional		$29.94	$94.58	$139.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $36.33 / $110.36	Professional		$17.85	$36.33	$110.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $87.71 / $107.80	Facility		$32.39	$87.71	$107.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $35.83 / $35.83	Professional		$35.83	$35.83	$35.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $22.43 / $35.21	Professional		$21.63	$22.43	$35.21
United Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $40.09 / $91.07	Professional		$22.88	$40.09	$91.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $269.79 / $269.79 / $269.79	Facility		$269.79	$269.79	$269.79
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $340.37 / $777.24 / $777.24	Professional		$340.37	$777.24	$777.24