Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $102.33 / $102.33	Facility		$33.11	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $33.11	Professional		$15.85	$22.91	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $44.67	Professional		$27.54	$32.36	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $75.86	Facility		$30.90	$37.15	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $30.90	Professional		$28.18	$28.84	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $30.20	Facility		$16.98	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $37.15	Professional		$21.88	$21.88	$37.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $26.30	Professional		$21.88	$23.44	$26.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.11 / $57.54	Facility		$16.22	$33.11	$57.54
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 $12.30 / $17.78 / $30.20	Facility		$12.30	$17.78	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $27.54	Professional		$14.45	$18.62	$27.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Professional		$234.42	$234.42	$363.08