Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $37.46 / $116.20	Facility		$23.97	$37.46	$116.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $24.40 / $63.75	Professional		$21.40	$24.40	$63.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $33.57 / $60.03	Professional		$19.89	$33.57	$60.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $40.28 / $70.80	Professional		$21.40	$40.28	$70.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $37.79 / $64.70	Professional		$27.23	$37.79	$64.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $27.35 / $31.16	Facility		$22.00	$27.35	$31.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $20.87 / $27.35	Professional		$20.87	$20.87	$27.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $36.56 / $44.24	Professional		$22.47	$36.56	$44.24
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $30.54 / $52.72	Professional		$22.02	$30.54	$52.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $54.13 / $111.53	Facility		$41.82	$54.13	$111.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $182.48 / $182.48	Professional		$151.44	$182.48	$182.48