Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Facility		$31.73	$31.73	$31.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $31.73 / $31.73	Professional		$11.75	$31.73	$31.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $25.37 / $36.24	Professional		$16.48	$25.37	$36.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $34.86 / $66.20	Facility		$29.06	$34.86	$66.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $27.18 / $28.99	Professional		$25.23	$27.18	$28.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.26 / $42.00	Professional		$17.71	$24.26	$42.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $31.58 / $41.25	Facility		$10.51	$31.58	$41.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $25.43	Professional		$25.43	$25.43	$25.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $66.90	Professional		$43.50	$43.50	$66.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.07 / $28.79	Professional		$13.80	$18.07	$28.79
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $172.14 / $172.14	Facility		$80.00	$172.14	$172.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $271.80 / $271.80	Professional		$180.48	$271.80	$271.80