Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $126.00 / $142.00	Facility		$20.97	$126.00	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $24.60	Professional		$17.97	$19.57	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $33.54 / $33.54	Professional		$23.51	$33.54	$33.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $46.97 / $104.67	Professional		$35.78	$46.97	$104.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.00 / $47.86	Professional		$21.00	$26.00	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $25.47 / $52.18	Facility		$19.00	$25.47	$52.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $68.00	Professional		$25.00	$25.00	$68.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $29.88 / $29.88	Professional		$14.89	$29.88	$29.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $61.67 / $124.61	Professional		$46.47	$61.67	$124.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $101.99 / $254.84	Facility		$101.99	$101.99	$254.84
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $410.25 / $410.25	Professional		$256.41	$410.25	$410.25