Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.12 / $54.95	Facility		$20.89	$50.12	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $58.88	Professional		$20.89	$26.92	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $30.90	Professional		$15.49	$16.98	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $70.79	Professional		$19.50	$24.55	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $66.07	Professional		$23.44	$33.88	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $48.98	Professional		$33.11	$33.11	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.18 / $48.98	Facility		$21.88	$28.18	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $50.12	Professional		$21.88	$37.15	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $45.71	Professional		$20.89	$26.92	$45.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74