Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $37.40 / $37.40	Professional		$37.40	$37.40	$37.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $40.07 / $42.74	Professional		$37.19	$40.07	$42.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $51.86 / $77.20	Facility		$42.00	$51.86	$77.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $51.86 / $106.83	Professional		$51.86	$51.86	$106.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $64.09 / $64.09	Professional		$64.09	$64.09	$64.09
United Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $31.12 / $51.86	Professional		$25.93	$31.12	$51.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $108.44 / $253.75	Facility		$82.98	$108.44	$253.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $400.65 / $400.65	Professional		$266.02	$400.65	$400.65