Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $30.00 / $263.00	Facility		$27.89	$30.00	$263.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $15.14 / $27.89	Professional		$3.15	$15.14	$27.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $17.48 / $26.25	Professional		$12.75	$17.48	$26.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.46 / $35.43	Professional		$12.00	$19.46	$35.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $12.75 / $18.00	Facility		$11.02	$12.75	$18.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $16.53 / $16.53 / $23.61	Facility	50	$16.53	$16.53	$23.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $2.20 / $2.20 / $3.15	Facility	80	$2.20	$2.20	$3.15
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $1.54 / $1.54 / $2.20	Facility	AS	$1.54	$1.54	$2.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Professional		$15.74	$15.74	$15.74
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $23.61 / $23.61 / $23.61	Professional	50	$23.61	$23.61	$23.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.26 / $363.26 / $1,117.79	Facility		$363.26	$363.26	$1,117.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $24.67 / $28.73	Professional		$23.39	$24.67	$28.73
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $22.01 / $34.19	Professional		$16.73	$22.01	$34.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $80.00 / $80.48	Facility		$75.00	$80.00	$80.48
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2.27 / $3.03 / $7.88	Facility	AS	$2.27	$3.03	$7.88
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $130.05 / $130.05	Professional		$94.23	$130.05	$130.05