Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $110.88 / $223.68	Facility		$32.97	$110.88	$223.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $43.86 / $91.30	Professional		$28.07	$43.86	$91.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $35.09 / $65.15	Professional		$16.69	$35.09	$65.15
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 / $34.74 / $83.17	Professional		$26.32	$34.74	$83.17
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 / $81.48	Facility		$28.07	$45.00	$81.48
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 $398.81 / $398.81 / $556.25	Facility		$398.81	$398.81	$556.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.11 / $115.07	Professional		$22.81	$42.11	$115.07
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 $313.33 / $313.33 / $313.33	Professional		$313.33	$313.33	$313.33