Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $31.02 / $231.75	Facility		$19.13	$31.02	$231.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $33.35 / $58.50	Professional		$19.13	$33.35	$58.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Professional		$28.67	$28.67	$28.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $42.93 / $43.55	Facility		$42.93	$42.93	$43.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $62.94 / $123.00	Professional		$34.22	$62.94	$123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $47.16 / $78.95	Professional		$26.10	$47.16	$78.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $48.00 / $85.00	Facility		$19.48	$48.00	$85.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $61.32	Professional		$36.00	$36.00	$61.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $37.79 / $139.30	Professional		$3.00	$37.79	$139.30
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $50.69 / $82.60	Professional		$26.38	$50.69	$82.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.19 / $95.19	Facility		$55.00	$95.19	$95.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $270.66 / $326.25	Professional		$154.72	$270.66	$326.25