Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $179.27 / $339.57	Facility		$21.78	$179.27	$339.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.79 / $27.22	Professional		$19.05	$22.79	$27.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $18.61 / $205.24	Professional		$17.86	$18.61	$205.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $111.67 / $111.67	Facility		$56.78	$111.67	$111.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $17.69	Professional		$16.32	$16.32	$17.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $22.48 / $71.17	Facility		$13.36	$22.48	$71.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.69 / $39.24	Professional		$13.76	$19.69	$39.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $21.78 / $27.76	Facility		$19.82	$21.78	$27.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $36.49 / $40.50	Professional		$21.50	$36.49	$40.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.95 / $245.95 / $3,281.16	Facility		$245.95	$245.95	$3,281.16
United Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $16.32 / $36.54	Professional		$11.66	$16.32	$36.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $129.30 / $129.30	Facility		$56.54	$129.30	$129.30