Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $128.82 / $309.03	Facility		$38.90	$128.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $112.20	Professional		$29.51	$36.31	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $50.12	Professional		$19.50	$24.55	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $151.36	Facility		$66.07	$89.13	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.90	Professional		$25.70	$25.70	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $57.54 / $102.33	Facility		$23.44	$57.54	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $60.26	Professional		$21.38	$25.12	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $63.10	Professional		$58.88	$63.10	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $61.66	Facility		$28.18	$30.90	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $41.69	Professional		$27.54	$29.51	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $3,630.78	Facility		$2,089.30	$2,238.72	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.90 / $58.88	Facility		$17.78	$38.90	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $47.86	Professional		$16.60	$23.99	$47.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21