Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $52.48	Professional		$25.70	$38.02	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $107.15	Professional		$30.90	$46.77	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $120.23	Facility		$50.12	$60.26	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $46.77 / $51.29	Professional		$45.71	$46.77	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $48.98 / $48.98	Facility		$26.92	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $52.48	Professional		$35.48	$35.48	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $41.69	Professional		$28.18	$30.20	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $54.95 / $89.13	Facility		$25.70	$54.95	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $47.86	Facility		$20.42	$30.20	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $45.71	Professional		$23.44	$30.20	$45.71
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03