Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $31.25 / $43.08	Facility		$22.82	$31.25	$43.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $44.38 / $75.97	Professional		$27.68	$44.38	$75.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $35.31 / $99.14	Professional		$35.31	$35.31	$99.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $50.09 / $80.14	Professional		$32.11	$50.09	$80.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $27.74 / $75.41	Professional		$16.70	$27.74	$75.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $74.05 / $97.94	Facility		$40.11	$74.05	$97.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $33.04 / $33.04	Professional		$33.04	$33.04	$33.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $32.69 / $114.36	Professional		$18.23	$32.69	$114.36
United Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $46.85 / $84.24	Professional		$29.73	$46.85	$84.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $170.19 / $170.19 / $170.19	Facility		$170.19	$170.19	$170.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $360.21 / $449.40	Professional		$219.22	$360.21	$449.40