Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $99.63 / $263.44	Facility		$35.38	$99.63	$263.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $25.74 / $61.26	Professional		$5.26	$25.74	$61.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $20.56 / $42.92	Professional		$8.14	$20.56	$42.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $123.48 / $123.48	Facility		$62.56	$123.48	$123.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $13.32 / $19.23	Professional		$13.32	$13.32	$19.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $31.32 / $77.40	Facility		$20.20	$31.32	$77.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $21.88 / $66.18	Professional		$18.80	$21.88	$66.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.81 / $57.90	Facility		$22.91	$25.81	$57.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $42.40 / $54.00	Professional		$38.61	$42.40	$54.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $271.00 / $456.92	Facility		$271.00	$271.00	$456.92
United Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $41.94 / $49.63	Facility		$38.81	$41.94	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $20.68 / $40.40	Professional		$13.32	$20.68	$40.40
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $141.54 / $141.54	Facility		$84.58	$141.54	$141.54