Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $89.49 / $426.97	Facility		$15.89	$89.49	$426.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $23.08 / $92.32	Professional		$11.29	$23.08	$92.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.51 / $54.02 / $54.02	Facility		$36.51	$54.02	$54.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $12.65 / $12.65	Professional		$11.23	$12.65	$12.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $14.27 / $45.37	Facility		$8.94	$14.27	$45.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $9.48 / $24.78	Professional		$8.15	$9.48	$24.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $12.95 / $25.33	Facility		$10.74	$12.95	$25.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $18.54 / $24.00	Professional		$17.63	$18.54	$24.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,464.84 / $2,464.84 / $5,080.70	Facility		$2,464.84	$2,464.84	$5,080.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $9.27 / $17.66	Professional		$8.64	$9.27	$17.66
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $123.64 / $123.64	Facility		$42.31	$123.64	$123.64