Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $34.35 / $147.30	Facility		$16.94	$34.35	$147.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $16.94 / $16.94	Professional		$9.86	$16.94	$16.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $20.48 / $20.48	Professional		$20.48	$20.48	$20.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $21.89 / $41.58	Facility		$18.23	$21.89	$41.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $17.05 / $17.05	Professional		$12.97	$17.05	$17.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $14.44 / $14.44	Facility		$14.07	$14.44	$14.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.44 / $21.75	Professional		$10.54	$14.44	$21.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $16.94 / $25.61	Facility		$6.08	$16.94	$25.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.00	Professional		$13.00	$13.00	$16.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $46.50	Professional		$30.20	$30.20	$46.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $11.35 / $16.02	Professional		$8.72	$11.35	$16.02
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $119.65 / $119.65	Facility		$75.00	$119.65	$119.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $188.93	Professional		$129.41	$129.41	$188.93