Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $93.33 / $199.53	Facility		$18.20	$93.33	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $47.86	Professional		$12.02	$15.14	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $11.48 / $23.99	Professional		$5.62	$11.48	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $72.44 / $72.44	Facility		$28.84	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $15.49	Professional		$7.59	$10.96	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $24.55 / $44.67	Facility		$10.96	$24.55	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $32.36	Professional		$10.72	$12.30	$32.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $89.13	Professional		$19.95	$31.62	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.79 / $33.11	Facility		$13.49	$14.79	$33.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $35.48 / $39.81	Professional		$13.49	$35.48	$39.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $794.33	Facility		$91.20	$91.20	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $16.98 / $29.51	Facility		$8.51	$16.98	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $23.44	Professional		$8.32	$11.75	$23.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $120.23	Facility		$81.28	$81.28	$120.23