Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $123.03	Facility		$26.92	$37.15	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $46.77	Professional		$23.99	$30.20	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $21.88	Professional		$14.79	$17.38	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $104.71	Facility		$74.13	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $77.62	Professional		$26.30	$33.88	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $93.33	Facility		$23.99	$54.95	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $31.62 / $67.61	Professional		$16.22	$31.62	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $89.13	Facility		$28.18	$46.77	$89.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
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 $30.20 / $45.71 / $61.66	Facility		$30.20	$45.71	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $48.98	Professional		$14.79	$20.89	$48.98
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 $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40