Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $129.04 / $312.58	Facility		$53.54	$129.04	$312.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $54.02 / $74.38	Professional		$50.11	$54.02	$74.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $43.04 / $47.49	Professional		$37.19	$43.04	$47.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.55 / $258.50 / $258.50	Facility		$169.55	$258.50	$258.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $37.19 / $43.39	Professional		$37.19	$37.19	$43.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $65.58 / $162.80	Facility		$42.30	$65.58	$162.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $45.57 / $89.31	Professional		$39.27	$45.57	$89.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $52.14 / $112.57	Facility		$48.34	$52.14	$112.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $88.77 / $112.57	Professional		$49.74	$88.77	$112.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $251.84 / $251.84 / $423.80	Facility		$251.84	$251.84	$423.80
United Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $43.30 / $84.56	Professional		$34.44	$43.30	$84.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $296.01 / $296.01	Facility		$147.72	$296.01	$296.01