Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $95.50 / $257.04	Facility		$30.90	$95.50	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $91.20	Professional		$23.99	$32.36	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $24.55	Professional		$16.22	$17.38	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $87.10	Facility		$58.88	$74.13	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $77.62	Professional		$22.39	$26.30	$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 $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Professional		$35.48	$35.48	$37.15
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