Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $54.95 / $117.49	Facility		$15.85	$54.95	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $29.51	Professional		$12.30	$14.79	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $23.44	Professional		$10.96	$11.48	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.18 / $58.88	Facility		$27.54	$28.18	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $19.50	Professional		$7.41	$14.79	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $24.55 / $43.65	Facility		$10.72	$24.55	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.75 / $25.12	Professional		$10.47	$11.75	$25.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $30.20	Professional		$13.80	$21.38	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.79 / $32.36	Facility		$13.18	$14.79	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.39 / $24.55	Professional		$13.18	$22.39	$24.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $446.68	Facility		$229.09	$229.09	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.60 / $28.84	Facility		$8.32	$16.60	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.48 / $22.91	Professional		$6.92	$11.48	$22.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Facility		$79.43	$79.43	$100.00