Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $266.49 / $550.54	Facility		$47.99	$266.49	$550.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $39.06 / $186.50	Professional		$25.24	$39.06	$186.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $33.08 / $67.22	Professional		$13.10	$33.08	$67.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $160.11 / $180.78	Facility		$80.55	$160.11	$180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $21.43 / $33.34	Professional		$21.43	$21.43	$33.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $49.38 / $125.44	Facility		$32.29	$49.38	$125.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $35.90 / $71.84	Professional		$30.69	$35.90	$71.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $37.97 / $91.15	Facility		$37.18	$37.97	$91.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $64.06 / $85.00	Professional		$53.65	$64.06	$85.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $639.29 / $639.29 / $3,575.19	Facility		$639.29	$639.29	$3,575.19
United Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $31.91 / $63.60	Professional		$21.43	$31.91	$63.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $143.33 / $260.00 / $260.00	Facility		$143.33	$260.00	$260.00