Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $51.29 / $95.50	Facility		$27.54	$51.29	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $51.29	Professional		$21.88	$28.84	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $23.99	Professional		$20.89	$21.88	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.90 / $134.90	Facility		$72.44	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $36.31	Professional		$15.49	$28.84	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $50.12 / $89.13	Facility		$21.88	$50.12	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $48.98	Professional		$19.95	$22.39	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $28.84 / $57.54	Facility		$26.30	$28.84	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $28.18	Professional		$25.12	$25.12	$28.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $54.95	Facility		$16.98	$33.88	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $43.65	Professional		$16.98	$21.88	$43.65
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18