Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $58.88 / $112.20	Facility		$12.59	$58.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $23.44	Professional		$10.00	$11.75	$23.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $13.18	Professional		$6.61	$9.12	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $46.77	Facility		$22.39	$28.84	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $16.22	Professional		$7.94	$12.02	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.50 / $34.67	Facility		$8.51	$19.50	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $19.95	Professional		$8.32	$9.33	$19.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $28.84 / $34.67	Professional		$10.96	$28.84	$34.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.02 / $25.70	Facility		$10.47	$12.02	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $104.71 / $117.49	Professional		$10.47	$104.71	$117.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $13.18 / $22.91	Facility		$6.61	$13.18	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.12 / $18.62	Professional		$5.50	$9.12	$18.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28