Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $54.34 / $116.76	Facility		$23.42	$54.34	$116.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $25.47 / $33.67	Professional		$15.52	$25.47	$33.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $49.61 / $69.87	Facility		$49.51	$49.61	$69.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.94 / $19.03	Professional		$13.18	$15.94	$19.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $32.54 / $76.51	Facility		$17.64	$32.54	$76.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $16.41 / $42.33	Professional		$14.68	$16.41	$42.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $26.54 / $30.65	Facility		$15.52	$26.54	$30.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $32.53 / $32.53	Professional		$29.28	$32.53	$32.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $561.64 / $561.64 / $561.64	Facility		$561.64	$561.64	$561.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $16.27 / $32.53	Professional		$14.64	$16.27	$32.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $139.08 / $139.08	Facility		$53.01	$139.08	$139.08