Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $9,951.90 / $30,884.78	Facility		$14.43	$9,951.90	$30,884.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $17.19 / $9,740.14	Professional		$14.43	$17.19	$9,740.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $29.86 / $40.09	Facility		$18.89	$29.86	$40.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $17.05 / $18.77	Professional		$11.61	$17.05	$18.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.02 / $43.65	Facility		$16.05	$17.02	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $19.48	Professional		$17.02	$17.02	$19.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $14.43 / $21.44	Facility		$10.21	$14.43	$21.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $19.80 / $23.00	Professional		$10.21	$19.80	$23.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $27.97 / $32.59	Professional		$25.10	$27.97	$32.59
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $18.04 / $20.28	Professional		$17.02	$18.04	$20.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.10 / $100.00	Facility		$75.00	$85.10	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $4,929.21 / $4,929.21 / $4,929.21	Professional		$4,929.21	$4,929.21	$4,929.21