Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $24.62 / $49.95	Facility		$24.62	$24.62	$49.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $24.62 / $24.62	Professional		$14.12	$24.62	$24.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $24.82 / $24.82	Professional		$24.82	$24.82	$24.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $49.08 / $60.44	Facility		$30.12	$49.08	$60.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $24.82 / $24.82	Professional		$18.86	$24.82	$24.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $20.46	Facility		$18.44	$18.44	$20.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $33.00	Professional		$13.46	$18.44	$33.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $24.62 / $37.25	Facility		$8.55	$24.62	$37.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $24.00	Professional		$19.00	$19.00	$24.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $57.70	Professional		$37.50	$37.50	$57.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.50 / $23.93	Professional		$12.68	$16.50	$23.93
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $158.75 / $158.75	Facility		$75.00	$158.75	$158.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $160.41 / $234.38	Professional		$160.41	$160.41	$234.38