Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $40.74	Professional		$15.85	$22.91	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $95.50	Facility		$44.67	$70.79	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $36.31 / $39.81	Professional		$35.48	$36.31	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.91 / $29.51	Facility		$21.38	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $35.48	Professional		$16.98	$16.98	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $23.99	Professional		$16.60	$17.78	$23.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $41.69 / $64.57	Facility		$16.60	$41.69	$64.57
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 $12.02 / $17.78 / $38.02	Facility		$12.02	$17.78	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $32.36	Professional		$15.85	$22.39	$32.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Professional		$302.00	$302.00	$316.23