Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $119.29 / $536.89	Facility		$22.03	$119.29	$536.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.73 / $37.52	Professional		$14.71	$14.73	$37.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $37.39 / $41.77	Facility		$30.36	$37.39	$41.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.86 / $17.04	Professional		$14.70	$14.86	$17.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Facility		$14.73	$14.73	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.04	Professional		$14.73	$14.73	$17.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $14.71 / $26.19	Facility		$13.50	$14.71	$26.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $24.22 / $28.21	Professional		$14.75	$24.22	$28.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $21.06	Professional		$14.73	$14.73	$21.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $64.91 / $64.91	Professional		$64.91	$64.91	$64.91