Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $56.63 / $164.90	Facility		$15.41	$56.63	$164.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $15.29 / $30.08	Professional		$9.36	$15.29	$30.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $11.71 / $23.80	Professional		$4.93	$11.71	$23.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $57.94 / $65.42	Facility		$30.30	$57.94	$65.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $11.65	Professional		$8.06	$8.06	$11.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $17.82 / $47.15	Facility		$11.68	$17.82	$47.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $12.40 / $25.81	Professional		$10.65	$12.40	$25.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $15.29 / $33.00	Facility		$14.00	$15.29	$33.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $24.16 / $31.00	Professional		$22.14	$24.16	$31.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $800.19 / $800.19 / $800.19	Facility		$800.19	$800.19	$800.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $11.78 / $23.57	Professional		$8.96	$11.78	$23.57
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $110.92 / $110.92	Facility		$88.30	$110.92	$110.92