Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $162.18	Facility		$51.29	$91.20	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $117.49	Professional		$51.29	$72.44	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $87.10	Professional		$21.88	$28.18	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $138.04	Facility		$64.57	$69.18	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $85.11	Professional		$74.13	$79.43	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $97.72 / $123.03	Professional		$34.67	$97.72	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.71 / $245.47	Facility		$53.70	$104.71	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $147.91	Professional		$30.90	$51.29	$147.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $48.98 / $102.33	Facility		$21.38	$48.98	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $54.95	Professional		$48.98	$51.29	$54.95