Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $186.21 / $501.19	Facility		$16.60	$186.21	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $562.34	Professional		$15.85	$26.92	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $85.11	Professional		$19.50	$26.92	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $25.12 / $69.18	Professional		$10.72	$25.12	$69.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $87.10	Professional		$52.48	$52.48	$87.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $34.67 / $74.13	Facility		$17.78	$34.67	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $22.91	Professional		$21.38	$21.38	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.91 / $57.54	Professional		$13.18	$22.91	$57.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $489.78	Professional		$288.40	$489.78	$489.78