Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $96.43 / $254.51	Facility		$24.62	$96.43	$254.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $14.28 / $29.46	Professional		$3.57	$14.28	$29.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $11.67 / $23.71	Professional		$4.62	$11.67	$23.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $67.95 / $67.95	Facility		$35.06	$67.95	$67.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Professional		$10.92	$10.92	$10.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $17.78 / $44.48	Facility		$11.47	$17.78	$44.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $18.14 / $36.61	Professional		$10.65	$18.14	$36.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $14.38 / $31.88	Facility		$12.60	$14.38	$31.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $23.34 / $30.00	Professional		$16.34	$23.34	$30.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $132.69 / $219.40	Facility		$132.69	$132.69	$219.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $11.12 / $22.23	Professional		$7.56	$11.12	$22.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $80.19 / $100.00	Facility		$51.02	$80.19	$100.00