Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $81.28 / $2,398.83	Facility		$28.84	$81.28	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $69.18	Professional		$16.98	$28.84	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $42.66	Facility		$41.69	$41.69	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $64.57 / $131.83	Professional		$28.18	$64.57	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $52.48 / $91.20	Professional		$24.55	$52.48	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $97.72	Professional		$70.79	$70.79	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.90 / $91.20	Facility		$19.05	$38.90	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $109.65	Professional		$28.18	$51.29	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $724.44 / $1,949.84	Facility		$117.49	$724.44	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $40.74 / $81.28	Professional		$18.62	$40.74	$81.28
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $380.19	Professional		$338.84	$380.19	$380.19