Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $113.39 / $221.37	Facility		$22.76	$113.39	$221.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $23.87 / $31.54	Professional		$8.09	$23.87	$31.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $18.59 / $18.59	Professional		$17.85	$18.59	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $91.95 / $103.82	Facility		$45.37	$91.95	$103.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $18.75 / $23.30	Professional		$16.07	$18.75	$23.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $28.32 / $70.28	Facility		$18.28	$28.32	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $19.69 / $38.72	Professional		$16.97	$19.69	$38.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $24.28 / $52.37	Facility		$21.42	$24.28	$52.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $38.35 / $49.00	Professional		$32.40	$38.35	$49.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.04 / $1,140.04 / $1,140.04	Facility		$1,140.04	$1,140.04	$1,140.04
United Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $18.70 / $36.53	Professional		$13.39	$18.70	$36.53
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $128.00 / $128.00	Facility		$72.28	$128.00	$128.00