Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $25.13 / $42.05	Facility		$25.13	$25.13	$42.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.05 / $61.82	Professional		$23.00	$26.05	$61.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $36.19 / $46.13	Professional		$21.73	$36.19	$46.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $39.11 / $80.26	Professional		$23.36	$39.11	$80.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $28.32 / $28.32	Facility		$28.32	$28.32	$28.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $39.18 / $67.26	Professional		$27.98	$39.18	$67.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $27.64 / $40.31	Facility		$22.29	$27.64	$40.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $29.86 / $35.00	Professional		$19.68	$29.86	$35.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $39.40 / $49.22	Professional		$24.53	$39.40	$49.22
United Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $29.93 / $58.06	Professional		$23.32	$29.93	$58.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $85.00 / $124.07	Facility		$57.75	$85.00	$124.07
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $158.99 / $203.93	Professional		$158.99	$158.99	$203.93