Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $106.67 / $194.91	Facility		$29.83	$106.67	$194.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $40.60 / $80.00	Professional		$23.33	$40.60	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $36.84 / $65.15	Professional		$16.69	$36.84	$65.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $135.93 / $135.93	Facility		$73.20	$135.93	$135.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.58 / $80.45	Professional		$26.32	$31.58	$80.45
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 / $25.95 / $67.06	Professional		$16.35	$25.95	$67.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $33.38 / $58.25	Facility		$28.07	$33.38	$58.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $33.38 / $84.56	Professional		$33.38	$33.38	$84.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $157.13 / $157.13 / $197.06	Facility		$157.13	$157.13	$197.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $37.02 / $115.07	Professional		$22.81	$37.02	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $21.05 / $50.07	Professional		$16.69	$21.05	$50.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $166.68 / $166.68	Facility		$61.26	$166.68	$166.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18