Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $46.77	Professional		$21.88	$25.12	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $22.39	Professional		$20.89	$20.89	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $83.18	Professional		$22.39	$29.51	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $60.26	Professional		$25.70	$36.31	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.20 / $46.77	Facility		$23.99	$30.20	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $54.95	Professional		$24.55	$41.69	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $46.77	Professional		$21.38	$27.54	$46.77
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $194.98	Professional		$177.83	$177.83	$194.98