Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $74.22 / $74.22	Facility		$31.58	$74.22	$74.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $35.64 / $73.72	Professional		$31.56	$35.64	$73.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $28.96 / $28.96	Professional		$28.96	$28.96	$28.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $45.70 / $110.59	Professional		$30.08	$45.70	$110.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $52.53 / $88.44	Professional		$34.35	$52.53	$88.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $40.59 / $65.39	Facility		$31.58	$40.59	$65.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $50.00 / $56.00	Professional		$10.00	$50.00	$56.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $32.33 / $81.59	Professional		$26.18	$32.33	$81.59
United Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $42.23 / $91.92	Professional		$31.74	$42.23	$91.92
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $155.22 / $155.22 / $379.22	Facility		$155.22	$155.22	$379.22
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $514.16 / $514.16 / $514.16	Professional		$514.16	$514.16	$514.16