Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $69.18 / $239.88	Facility		$19.50	$69.18	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $33.11	Professional		$15.85	$19.05	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $15.14	Professional		$13.80	$15.14	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $79.43	Facility		$40.74	$54.95	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $15.85	Professional		$10.96	$12.30	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $35.48 / $63.10	Facility		$12.59	$35.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $36.31	Professional		$11.48	$12.88	$36.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.11 / $125.89	Professional		$15.14	$33.11	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.38 / $35.48	Facility		$15.14	$17.38	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $16.22	Professional		$14.45	$14.45	$16.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,951.21	Facility		$2,187.76	$2,187.76	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.99 / $31.62	Facility		$10.47	$23.99	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $25.12	Professional		$10.47	$12.88	$25.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $186.21	Facility		$114.82	$114.82	$186.21