Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $51.04 / $88.04	Facility		$51.04	$51.04	$88.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $51.04 / $51.04	Professional		$24.88	$51.04	$51.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $52.46 / $52.46	Professional		$52.46	$52.46	$52.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $86.46 / $106.48	Facility		$53.09	$86.46	$106.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $43.72 / $43.72	Professional		$33.22	$43.72	$43.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $38.57 / $38.57	Facility		$36.06	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.85 / $72.00	Professional		$28.16	$28.85	$72.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $51.04 / $68.56	Facility		$18.77	$51.04	$68.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $39.63	Professional		$33.00	$33.00	$39.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $143.40	Professional		$93.00	$93.00	$143.40
United Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $28.43 / $33.65	Facility		$22.41	$28.43	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $29.08 / $43.80	Professional		$22.34	$29.08	$43.80
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $365.18 / $365.18	Facility		$116.57	$365.18	$365.18
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $384.66 / $384.66 / $582.83	Professional		$384.66	$384.66	$582.83