Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $269.08 / $560.91	Facility		$27.15	$269.08	$560.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $27.15 / $48.35	Professional		$17.52	$27.15	$48.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.21 / $67.31 / $117.87	Professional	50	$39.21	$67.31	$117.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $44.21 / $44.21	Professional		$12.40	$44.21	$44.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $30.67 / $31.12	Facility		$30.67	$30.67	$31.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $56.01 / $94.53	Professional		$31.99	$56.01	$94.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $23.87 / $606.10	Facility		$23.87	$23.87	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $43.19 / $80.01	Professional		$25.08	$43.19	$80.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $40.53 / $62.27	Facility		$17.87	$40.53	$62.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $50.41 / $76.14 / $92.04	Facility	50	$50.41	$76.14	$92.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $50.76	Professional		$32.00	$32.00	$50.76
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $76.14 / $76.14 / $76.14	Professional	50	$76.14	$76.14	$76.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $33.97 / $50.06	Professional		$24.71	$33.97	$50.06
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 $24.85 / $41.77 / $72.37	Professional		$24.85	$41.77	$72.37
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $83.98 / $83.98	Facility		$55.00	$83.98	$83.98
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $216.23 / $234.45	Professional		$129.00	$216.23	$234.45