Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $149.04 / $348.55	Facility		$30.68	$149.04	$348.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $46.16 / $88.72	Professional		$21.64	$46.16	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $17.68 / $17.68	Professional		$17.68	$17.68	$17.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $60.53 / $60.53	Facility		$53.10	$60.53	$60.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $17.82	Professional		$15.27	$15.27	$17.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $26.93 / $66.72	Facility		$17.37	$26.93	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $18.10 / $36.65	Professional		$16.14	$18.10	$36.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $23.07 / $30.42	Facility		$14.24	$23.07	$30.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $20.79 / $36.00	Professional		$19.77	$20.79	$36.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,111.51 / $1,111.51 / $1,111.51	Facility		$1,111.51	$1,111.51	$1,111.51
United Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.45 / $25.45	Professional		$9.90	$11.45	$25.45
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $121.47 / $121.47	Facility		$61.03	$121.47	$121.47