Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $18.43 / $41.56	Facility		$18.43	$18.43	$41.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $41.31 / $77.75	Professional		$17.87	$41.31	$77.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $64.44 / $69.94	Professional		$34.72	$64.44	$69.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $58.47 / $111.27	Professional		$20.72	$58.47	$111.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $39.88 / $55.49	Professional		$29.75	$39.88	$55.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $36.00 / $61.90	Facility		$12.43	$36.00	$61.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $39.76 / $104.83	Professional		$34.92	$39.76	$104.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $40.85 / $80.59	Professional		$17.64	$40.85	$80.59
United Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $46.73 / $83.86	Professional		$35.24	$46.73	$83.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $90.29 / $90.29	Facility		$90.29	$90.29	$90.29
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $272.14 / $372.38	Professional		$156.41	$272.14	$372.38