Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $57.62 / $175.92	Facility		$19.28	$57.62	$175.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $16.37 / $32.15	Professional		$9.82	$16.37	$32.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $15.07 / $15.07	Professional		$14.47	$15.07	$15.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $62.02 / $70.03	Facility		$40.84	$62.02	$70.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $12.20 / $15.67	Professional		$10.85	$12.20	$15.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $19.92 / $63.16	Facility		$12.50	$19.92	$63.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.31 / $35.11	Professional		$11.48	$13.31	$35.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $18.07 / $35.32	Facility		$14.98	$18.07	$35.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $25.86 / $33.00	Professional		$14.54	$25.86	$33.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,928.43 / $2,928.43 / $4,059.88	Facility		$2,928.43	$2,928.43	$4,059.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $12.79 / $24.63	Professional		$10.60	$12.79	$24.63
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $114.52 / $188.00	Facility		$59.07	$114.52	$188.00