Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $26.30	Professional		$14.13	$15.85	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $38.02	Professional		$17.38	$27.54	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $38.02	Professional		$15.85	$22.39	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $30.90	Facility		$15.49	$19.95	$30.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $33.88	Professional		$16.60	$25.12	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $28.84	Professional		$12.88	$16.60	$28.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $134.90	Professional		$123.03	$123.03	$134.90