Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $97.72 / $331.13	Facility		$56.23	$97.72	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $177.83	Professional		$52.48	$77.62	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $74.13	Professional		$35.48	$46.77	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $208.93	Facility		$147.91	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $95.50	Professional		$30.90	$52.48	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $112.20 / $186.21	Facility		$47.86	$112.20	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $138.04	Professional		$32.36	$56.23	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $169.82	Facility		$56.23	$89.13	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,890.45	Facility		$3,630.78	$3,630.78	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Professional		$70.79	$70.79	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $123.03	Facility		$60.26	$91.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $97.72	Professional		$29.51	$41.69	$97.72
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $575.44	Professional		$524.81	$575.44	$575.44