Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $29.05 / $29.05	Facility		$29.05	$29.05	$29.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $29.05 / $95.70	Professional		$15.93	$29.05	$95.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $28.77 / $28.77	Professional		$28.77	$28.77	$28.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $58.88 / $62.18	Facility		$49.22	$58.88	$62.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $24.89 / $26.54	Professional		$23.10	$24.89	$26.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $33.40 / $61.80	Facility		$27.00	$33.40	$61.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.04 / $56.81	Professional		$27.54	$34.04	$56.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $36.54 / $56.78	Professional		$32.40	$36.54	$56.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $15.97 / $25.97	Professional		$12.55	$15.97	$25.97
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $85.00 / $157.61	Facility		$67.36	$85.00	$157.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $349.14 / $349.14	Professional		$248.85	$349.14	$349.14