Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $19.26 / $39.09	Facility		$19.26	$19.26	$39.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $19.26 / $19.26	Professional		$12.31	$19.26	$19.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $19.41 / $19.41	Professional		$19.41	$19.41	$19.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $38.39 / $47.28	Facility		$23.58	$38.39	$47.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $19.41 / $19.41	Professional		$14.75	$19.41	$19.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $16.62 / $16.62	Facility		$16.01	$16.62	$16.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $16.62 / $28.88	Professional		$12.13	$16.62	$28.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $19.26 / $29.15	Facility		$8.01	$19.26	$29.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $19.00	Professional		$15.00	$15.00	$19.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $36.60 / $56.30	Professional		$36.60	$36.60	$56.30
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $12.91 / $19.11	Professional		$9.92	$12.91	$19.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $154.33 / $154.33	Facility		$75.00	$154.33	$154.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $157.21 / $229.05	Professional		$157.21	$157.21	$229.05