Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $82.09 / $144.43	Facility		$51.31	$82.09	$144.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $58.40 / $95.44	Professional		$51.31	$58.40	$95.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $64.14 / $64.14	Professional		$64.14	$64.14	$64.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $101.16 / $101.16	Facility		$101.16	$101.16	$101.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $48.74 / $82.10	Professional		$38.47	$48.74	$82.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $42.39 / $107.16	Facility		$38.99	$42.39	$107.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $43.89 / $80.88	Professional		$25.21	$43.89	$80.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $100.00 / $100.00	Facility		$51.31	$100.00	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $100.00	Professional		$51.31	$51.31	$100.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,130.63 / $2,315.69 / $5,793.55	Facility		$2,130.63	$2,315.69	$5,793.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $51.31 / $98.26	Professional		$33.35	$51.31	$98.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $66.70	Professional		$30.79	$51.31	$66.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $243.72 / $243.72	Facility		$89.28	$243.72	$243.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $255.52 / $384.83	Professional		$255.52	$255.52	$384.83