Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $42.14 / $42.14	Facility		$18.48	$42.14	$42.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.35 / $33.32	Professional		$11.31	$14.35	$33.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.29 / $32.29 / $32.29	Professional	25	$32.29	$32.29	$32.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $20.39 / $25.99	Professional		$11.82	$20.39	$25.99
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.86 / $24.86 / $24.86	Professional	25	$24.86	$24.86	$24.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $26.61 / $38.19	Professional		$17.46	$26.61	$38.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $21.18 / $33.01	Professional		$15.20	$21.18	$33.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $16.14 / $21.68	Facility		$11.72	$16.14	$21.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $17.18 / $32.86	Professional		$13.28	$17.18	$32.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.19 / $28.27	Professional		$12.88	$21.19	$28.27
United Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $17.72 / $29.57	Professional		$13.83	$17.72	$29.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $62.32 / $62.32	Facility		$62.32	$62.32	$62.32
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $93.56 / $93.56	Professional		$80.58	$93.56	$93.56