Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $69.18 / $251.19	Facility		$28.84	$69.18	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $54.95	Professional		$26.92	$33.11	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $52.48	Professional		$21.88	$25.12	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $158.49	Facility		$61.66	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $33.11	Professional		$16.60	$23.99	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $53.70 / $95.50	Facility		$23.99	$53.70	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $56.23	Professional		$22.91	$25.70	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $67.61 / $173.78	Professional		$30.20	$67.61	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $31.62 / $70.79	Facility		$29.51	$31.62	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $93.33 / $102.33	Professional		$29.51	$93.33	$102.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $218.78	Facility		$109.65	$109.65	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $41.69 / $64.57	Facility		$19.05	$41.69	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $51.29	Professional		$18.20	$25.70	$51.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Facility		$186.21	$186.21	$229.09