Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $112.20 / $380.19	Facility		$28.18	$112.20	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $74.13	Professional		$25.70	$33.11	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $21.88	Professional		$16.22	$17.38	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $104.71	Facility		$79.43	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $77.62	Professional		$26.30	$28.84	$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 / $25.70 / $69.18	Professional		$16.22	$25.70	$69.18
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 / $41.69 / $85.11	Facility		$28.18	$41.69	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,737.80	Facility		$1,096.48	$1,096.48	$1,737.80
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 $263.03 / $288.40 / $288.40	Professional		$263.03	$288.40	$288.40