Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $9.08 / $18.07	Facility		$9.08	$9.08	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.99 / $25.95	Professional		$7.77	$14.99	$25.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $17.84 / $18.35	Professional		$14.31	$17.84	$18.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $17.03 / $39.67	Professional		$8.43	$17.03	$39.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $17.39 / $25.18	Facility		$9.08	$17.39	$25.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $17.39 / $43.82	Professional		$16.62	$17.39	$43.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $17.76 / $31.93	Professional		$10.11	$17.76	$31.93
United Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $20.19 / $42.31	Professional		$15.82	$20.19	$42.31
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $118.24 / $146.69	Professional		$66.75	$118.24	$146.69