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 / $19.47 / $24.60	Professional		$17.97	$19.47	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $22.79 / $22.79	Professional		$21.25	$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 $19.00 / $24.00 / $33.75	Professional		$19.00	$24.00	$33.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $25.26 / $35.93	Facility		$19.00	$25.26	$35.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $46.00	Professional		$25.00	$25.00	$46.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $19.32 / $19.32	Professional		$12.91	$19.32	$19.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $42.74 / $86.64	Professional		$28.38	$42.74	$86.64
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