Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $79.43 / $3,235.94	Facility		$28.18	$79.43	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $52.48	Professional		$25.70	$28.18	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $24.55	Professional		$14.79	$23.44	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $93.33	Facility		$58.88	$79.43	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $112.20	Professional		$26.30	$31.62	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $93.33	Facility		$22.91	$51.29	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $52.48	Professional		$14.79	$25.12	$52.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $67.61	Professional		$48.98	$50.12	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $58.88	Facility		$25.70	$30.90	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $107.15	Facility		$52.48	$52.48	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Professional		$35.48	$35.48	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $35.48 / $60.26	Facility		$17.38	$35.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $44.67	Professional		$14.79	$19.50	$44.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03