Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $18.28 / $43.26	Facility		$18.28	$18.28	$43.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $28.17 / $68.05	Professional		$17.52	$28.17	$68.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $29.79 / $36.47	Professional		$21.10	$29.79	$36.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $26.72 / $87.94	Professional		$17.02	$26.72	$87.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $37.15 / $67.98	Professional		$23.76	$37.15	$67.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $29.13 / $78.00	Facility		$18.28	$29.13	$78.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $36.00 / $58.44	Professional		$29.13	$36.00	$58.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $28.98 / $34.95	Professional		$17.48	$28.98	$34.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $30.72 / $52.09	Professional		$22.41	$30.72	$52.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $143.78 / $178.00	Facility		$42.98	$143.78	$178.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $440.85 / $440.85 / $440.85	Professional		$440.85	$440.85	$440.85