Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $113.40 / $604.12	Facility		$50.02	$113.40	$604.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $19.32 / $60.37	Professional		$9.91	$19.32	$60.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.34 / $30.89	Professional		$9.80	$15.34	$30.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $40.28 / $52.77	Professional		$22.14	$40.28	$52.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $606.10	Facility		$13.02	$13.02	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $38.10 / $121.19	Professional		$17.79	$38.10	$121.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $24.15 / $33.21	Facility		$9.92	$24.15	$33.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.15 / $36.51	Professional		$24.00	$24.15	$36.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $143.62 / $260.24	Facility		$143.62	$143.62	$260.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $19.55 / $37.60	Professional		$15.64	$19.55	$37.60
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $830.00 / $2,074.00	Facility		$116.00	$830.00	$2,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $18.91 / $35.34	Professional		$10.16	$18.91	$35.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $2,922.50 / $2,922.50	Facility		$31.50	$2,922.50	$2,922.50
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $804.00 / $804.00	Professional		$804.00	$804.00	$804.00