Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $8.76 / $22.25	Facility		$8.76	$8.76	$22.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $13.32 / $23.71	Professional		$7.37	$13.32	$23.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $11.95 / $11.95	Professional		$11.95	$11.95	$11.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $22.43 / $47.24	Professional		$11.59	$22.43	$47.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $505.65	Facility		$11.66	$11.66	$505.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $20.83 / $20.98	Professional		$18.98	$20.83	$20.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $21.00 / $31.99	Facility		$8.76	$21.00	$31.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $24.06 / $55.43	Professional		$17.54	$24.06	$55.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $40.10 / $53.10	Professional		$28.00	$40.10	$53.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $23.23 / $47.43	Professional		$18.25	$23.23	$47.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $146.43 / $194.78	Professional		$82.48	$146.43	$194.78