Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $323.59	Facility		$57.54	$74.13	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $162.18	Professional		$47.86	$60.26	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $104.71	Professional		$45.71	$45.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $251.19	Facility		$165.96	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $74.13 / $117.49	Professional		$33.11	$74.13	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $194.98	Facility		$50.12	$117.49	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $97.72	Professional		$33.88	$54.95	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $112.20	Facility		$58.88	$66.07	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $933.25	Facility		$467.74	$467.74	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Professional		$74.13	$74.13	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $87.10 / $102.33	Facility		$50.12	$87.10	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $87.10	Professional		$30.90	$43.65	$87.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $549.54	Professional		$363.08	$363.08	$549.54