Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $95.50 / $295.12	Facility		$20.42	$95.50	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.44 / $47.86	Professional		$14.13	$23.44	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $25.12	Professional		$9.12	$12.59	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $69.18 / $69.18	Facility		$41.69	$69.18	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $14.79	Professional		$10.96	$12.59	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $47.86	Facility		$11.75	$26.92	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $27.54	Professional		$11.48	$12.88	$27.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $39.81 / $42.66	Professional		$14.79	$39.81	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.85 / $31.62	Facility		$14.45	$15.85	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $32.36	Professional		$14.45	$28.84	$32.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $371.54	Facility		$181.97	$181.97	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $18.20 / $31.62	Facility		$9.12	$18.20	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $25.12	Professional		$7.59	$11.22	$25.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $54,954.09 / $54,954.09 / $54,954.09	Facility		$54,954.09	$54,954.09	$54,954.09