Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $81.28 / $190.55	Facility		$14.13	$81.28	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $32.36	Professional		$9.12	$11.48	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $19.05	Professional		$6.46	$8.91	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $39.81 / $56.23	Facility		$21.38	$39.81	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $11.48	Professional		$5.75	$8.32	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $18.62 / $33.88	Facility		$8.32	$18.62	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.55 / $19.50	Professional		$8.13	$9.55	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $23.44 / $29.51	Professional		$10.47	$23.44	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.48 / $25.12	Facility		$10.23	$11.48	$25.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.20 / $19.95	Professional		$10.23	$18.20	$19.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,096.48	Facility		$537.03	$537.03	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.88 / $22.39	Facility		$6.31	$12.88	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.91 / $17.78	Professional		$5.37	$8.91	$17.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66