Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $19.09 / $43.94	Facility		$12.46	$19.09	$43.94
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $9.58 / $19.03 / $45.08	Facility	25	$9.58	$19.03	$45.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $14.97 / $36.71	Professional		$11.18	$14.97	$36.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.29 / $27.10 / $43.19	Professional	25	$13.29	$27.10	$43.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $19.94 / $25.95	Professional		$13.14	$19.94	$25.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $13.14 / $16.69 / $21.28	Professional	25	$13.14	$16.69	$21.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $20.81 / $29.88	Professional		$12.65	$20.81	$29.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $17.54 / $29.05	Professional		$12.09	$17.54	$29.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $14.55 / $22.31	Facility		$11.54	$14.55	$22.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $18.00 / $20.00	Professional		$9.75	$18.00	$20.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $18.60 / $25.45	Professional		$14.62	$18.60	$25.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.12 / $27.18	Professional		$11.75	$16.12	$27.18
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $57.05	Facility		$57.05	$57.05	$57.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $199.96 / $199.96	Professional		$199.96	$199.96	$199.96