Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $60.40 / $60.40	Facility		$30.00	$60.40	$60.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $26.63 / $26.63	Professional		$26.63	$26.63	$26.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $28.53 / $31.38	Professional		$26.48	$28.53	$31.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $36.93 / $54.98	Facility		$30.00	$36.93	$54.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $36.93 / $76.08	Professional		$36.93	$36.93	$76.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Professional		$45.60	$45.60	$45.60
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.16 / $36.93	Professional		$14.77	$22.16	$36.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $180.69	Facility		$80.00	$85.00	$180.69
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $285.30 / $285.30	Professional		$189.44	$285.30	$285.30