Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $138.28 / $290.50	Facility		$25.54	$138.28	$290.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $13.05 / $23.90	Professional		$11.66	$13.05	$23.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $11.18	Professional		$11.18	$11.18	$11.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $33.38 / $38.89	Facility		$31.58	$33.38	$38.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $8.39 / $13.05	Professional		$8.39	$8.39	$13.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $19.03 / $48.93	Facility		$9.92	$19.03	$48.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $9.66 / $26.85	Professional		$8.58	$9.66	$26.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $13.58 / $18.64	Facility		$9.69	$13.58	$18.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $18.64 / $18.82	Professional		$12.12	$18.64	$18.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.75 / $1,449.75 / $3,683.12	Facility		$1,449.75	$1,449.75	$3,683.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $9.32 / $18.64	Professional		$8.39	$9.32	$18.64
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $88.54 / $88.54	Facility		$29.82	$88.54	$88.54