Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $9.08 / $17.75	Facility		$9.08	$9.08	$17.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $16.07 / $27.16	Professional		$7.90	$16.07	$27.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.26 / $22.54 / $22.54	Professional	25	$22.26	$22.54	$22.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $4.13 / $5.51 / $9.92	Professional	52	$4.13	$5.51	$9.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $23.90 / $30.47	Professional		$17.98	$23.90	$30.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $17.03 / $39.15	Professional		$8.43	$17.03	$39.15
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 / $24.46	Professional		$15.77	$15.77	$24.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $17.39 / $25.10	Facility		$9.08	$17.39	$25.10
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 $9.16 / $17.68 / $33.60	Professional		$9.16	$17.68	$33.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $20.16 / $43.26	Professional		$15.65	$20.16	$43.26
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 / $116.07 / $146.69	Professional		$66.75	$116.07	$146.69