Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $65.70 / $277.95	Facility		$28.07	$65.70	$277.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $41.33 / $68.43	Professional		$28.07	$41.33	$68.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $102.26 / $102.26	Facility		$73.20	$102.26	$102.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.82 / $85.66	Professional		$26.32	$31.82	$85.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $48.65 / $92.52	Facility		$26.66	$48.65	$92.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $32.40 / $61.64	Professional		$16.35	$32.40	$61.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $45.00 / $81.44	Facility		$28.07	$45.00	$81.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $37.85	Professional		$35.11	$35.11	$37.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.50 / $1,023.50 / $1,023.50	Facility		$1,023.50	$1,023.50	$1,023.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $37.02	Professional		$22.81	$22.81	$37.02
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $21.05 / $49.04	Professional		$17.13	$21.05	$49.04
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $167.46 / $167.46	Facility		$73.45	$167.46	$167.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $289.44 / $289.44	Professional		$289.44	$289.44	$289.44