Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $89.13 / $208.93	Facility		$22.39	$89.13	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $66.07	Professional		$18.20	$21.88	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.60 / $39.81	Professional		$7.94	$16.60	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $104.71	Facility		$40.74	$74.13	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $21.88	Professional		$18.20	$18.20	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $35.48 / $63.10	Facility		$15.85	$35.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.38 / $34.67	Professional		$15.14	$17.38	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.95 / $23.99	Facility		$19.05	$19.95	$23.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $30.20	Professional		$19.50	$19.50	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $354.81	Facility		$169.82	$169.82	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.99 / $40.74	Facility		$12.30	$23.99	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $33.88	Professional		$12.02	$16.60	$33.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82