Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $19.50	Professional		$10.00	$15.14	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.22	Professional		$15.85	$15.85	$16.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.88 / $45.71	Facility		$21.38	$33.88	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.38 / $18.62	Professional		$16.98	$17.38	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.88 / $33.88	Facility		$13.49	$21.88	$33.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $18.62 / $44.67	Professional		$0.60	$18.62	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $9.12 / $22.91	Facility		$7.41	$9.12	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $15.14	Professional		$7.94	$10.96	$15.14
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $169.82	Professional		$112.20	$112.20	$169.82