Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.20 / $23.96	Facility		$14.20	$14.20	$23.96
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.10 / $7.10 / $11.98	Facility	52	$7.10	$7.10	$11.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $14.88 / $41.67	Professional		$12.82	$14.88	$41.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $21.80 / $25.74	Professional		$12.29	$21.80	$25.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $24.81 / $48.70	Professional		$13.21	$24.81	$48.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.23 / $12.23 / $12.23	Facility	52	$12.23	$12.23	$12.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $23.05 / $36.88	Professional		$15.77	$23.05	$36.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $17.04 / $75.00	Facility		$13.23	$17.04	$75.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.00 / $50.00	Professional		$16.60	$20.00	$50.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $22.06 / $27.26	Professional		$13.56	$22.06	$27.26
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $17.50 / $30.38	Professional		$12.91	$17.50	$30.38
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $79.79 / $133.44	Facility		$33.28	$79.79	$133.44
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $26.62 / $40.00 / $55.41	Facility	52	$26.62	$40.00	$55.41
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $250.96 / $250.96	Professional		$250.96	$250.96	$250.96