Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $23.99	Professional		$10.96	$15.14	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $40.74 / $54.95	Facility		$25.70	$40.74	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.38 / $22.39	Professional		$20.89	$21.38	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $18.62	Facility		$10.72	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $19.95	Professional		$13.49	$13.49	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.80 / $18.20	Professional		$12.88	$13.80	$18.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.99 / $40.74	Facility		$11.75	$23.99	$40.74
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 $8.32 / $12.30 / $22.39	Facility		$8.32	$12.30	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $19.50	Professional		$10.23	$13.49	$19.50
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $204.17	Professional		$138.04	$204.17	$204.17