Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $93.33 / $213.80	Facility		$17.78	$93.33	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $53.70	Professional		$13.80	$16.98	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $18.62	Professional		$7.94	$11.48	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $79.43 / $79.43	Facility		$38.90	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.98	Professional		$12.02	$12.02	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $26.92 / $48.98	Facility		$12.02	$26.92	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.95 / $28.18	Professional		$11.75	$19.95	$28.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $34.67 / $43.65	Professional		$15.49	$34.67	$43.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $36.31	Facility		$14.79	$16.98	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.49 / $17.38	Professional		$14.79	$15.49	$17.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $630.96	Facility		$309.03	$309.03	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $18.62 / $32.36	Facility		$9.33	$18.62	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $25.70	Professional		$9.33	$12.88	$25.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Facility		$89.13	$89.13	$100.00