Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $36.96 / $53.63	Facility		$26.51	$36.96	$53.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $30.93 / $30.93	Professional		$20.64	$30.93	$30.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $31.79 / $31.79	Professional		$31.79	$31.79	$31.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $33.97 / $64.53	Facility		$28.32	$33.97	$64.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $26.49 / $28.26	Professional		$24.03	$26.49	$28.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $21.22	Facility		$12.60	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $21.22 / $40.88	Professional		$16.84	$21.22	$40.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $30.93 / $42.03	Facility		$9.68	$30.93	$42.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.53	Professional		$23.00	$23.00	$23.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $40.20 / $61.90	Professional		$40.20	$40.20	$61.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.47 / $27.65	Professional		$11.75	$17.47	$27.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $167.77 / $167.77	Facility		$75.00	$167.77	$167.77
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $175.89 / $255.60	Professional		$175.89	$175.89	$255.60