Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $17.55 / $20.32	Facility		$9.00	$17.55	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $17.55 / $17.55	Professional		$11.66	$17.55	$17.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $12.92 / $12.92	Professional		$12.92	$12.92	$12.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $29.74 / $36.63	Facility		$18.26	$29.74	$36.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $15.05 / $16.05	Professional		$13.97	$15.05	$16.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $13.44 / $13.44	Facility		$9.43	$13.44	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $13.44 / $24.75	Professional		$9.66	$13.44	$24.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $17.55 / $22.96	Facility		$6.13	$17.55	$22.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.36	Professional		$13.00	$13.00	$13.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $22.80 / $35.10	Professional		$22.80	$22.80	$35.10
United Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $8.61 / $10.54	Facility		$7.53	$8.61	$10.54
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.92 / $15.81	Professional		$6.67	$9.92	$15.81
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $106.21 / $106.21	Facility		$75.00	$106.21	$106.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $113.36 / $167.70	Professional		$113.36	$113.36	$167.70