Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $45.45	Facility		$22.39	$22.39	$45.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.39 / $22.39	Professional		$12.97	$22.39	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $27.06 / $27.06	Professional		$27.06	$27.06	$27.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $44.63 / $54.96	Facility		$27.42	$44.63	$54.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $22.55 / $22.55	Professional		$17.14	$22.55	$22.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $18.60	Facility		$16.29	$16.29	$18.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $14.88 / $29.25	Professional		$11.89	$14.88	$29.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $22.39 / $33.54	Facility		$7.52	$22.39	$33.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $22.00	Professional		$17.00	$17.00	$22.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $32.50 / $49.90	Professional		$32.50	$32.50	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.01 / $21.20	Professional		$11.53	$15.01	$21.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $147.82 / $147.82	Facility		$75.00	$147.82	$147.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $202.95	Professional		$149.38	$149.38	$202.95