Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $126.00 / $142.00	Facility		$15.55	$126.00	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.00 / $18.23	Professional		$13.33	$15.00	$18.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $22.79 / $22.79	Professional		$22.79	$22.79	$22.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $31.90 / $73.22	Professional		$24.30	$31.90	$73.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.00 / $31.84	Professional		$10.00	$15.00	$31.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $18.89 / $35.93	Facility		$15.00	$18.89	$35.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $46.00	Professional		$20.00	$20.00	$46.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $16.68 / $16.68	Professional		$9.80	$16.68	$16.68
United Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $40.96 / $85.84	Professional		$32.01	$40.96	$85.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $172.90	Facility		$80.00	$80.00	$172.90
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $279.75 / $279.75	Professional		$174.02	$279.75	$279.75