Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $94.57 / $204.21	Facility		$22.30	$94.57	$204.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $20.48 / $38.52	Professional		$4.37	$20.48	$38.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $16.72 / $17.55	Professional		$6.62	$16.72	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $81.34 / $91.88	Facility		$40.79	$81.34	$91.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $23.84 / $63.16	Facility		$16.43	$23.84	$63.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $17.43 / $34.59	Professional		$15.31	$17.43	$34.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $20.04 / $32.56	Facility		$18.07	$20.04	$32.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $33.54 / $42.33	Professional		$19.32	$33.54	$42.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $356.83 / $356.83 / $603.05	Facility		$356.83	$356.83	$603.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $16.78 / $32.32	Professional		$12.04	$16.78	$32.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $114.38 / $114.38	Facility		$51.70	$114.38	$114.38