Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $91.90 / $167.42	Facility		$32.28	$91.90	$167.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $35.79 / $56.12	Professional		$23.33	$35.79	$56.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $23.69 / $35.09	Professional		$16.69	$23.69	$35.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $73.20 / $85.70	Facility		$59.45	$73.20	$85.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.58 / $80.64	Professional		$26.32	$31.58	$80.64
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 / $33.46 / $58.49	Facility		$28.07	$33.46	$58.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $33.46	Professional		$28.16	$28.16	$33.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $810.11 / $844.44	Facility		$810.11	$810.11	$844.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $37.02	Professional		$22.81	$22.81	$37.02
United Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $46.01 / $57.44	Facility		$28.72	$46.01	$57.44
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $21.05 / $47.87	Professional		$16.73	$21.05	$47.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $61.37 / $166.68 / $166.68	Facility		$61.37	$166.68	$166.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $178.45 / $263.18	Professional		$178.45	$178.45	$263.18