Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $133.32 / $291.93	Facility		$17.82	$133.32	$291.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $17.34 / $66.68	Professional		$13.57	$17.34	$66.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $13.46 / $36.10	Professional		$5.33	$13.46	$36.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $40.43 / $66.56	Facility		$32.83	$40.43	$66.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $12.60	Professional		$8.72	$8.72	$12.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $20.50 / $50.71	Facility		$13.23	$20.50	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $14.22 / $27.88	Professional		$12.31	$14.22	$27.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $16.89 / $37.90	Facility		$15.00	$16.89	$37.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $27.76 / $36.00	Professional		$18.68	$27.76	$36.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.64 / $1,217.64 / $1,217.64	Facility		$1,217.64	$1,217.64	$1,217.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $13.54 / $26.44	Professional		$8.72	$13.54	$26.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $92.06 / $100.00	Facility		$69.02	$92.06	$100.00