Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $588.84 / $4,265.80	Facility		$19.95	$588.84	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $95.50	Professional		$14.13	$19.95	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $61.66 / $61.66	Facility		$44.67	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $45.71	Professional		$15.14	$23.99	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $33.88 / $56.23	Facility		$14.45	$33.88	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $41.69	Professional		$10.00	$19.50	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.92 / $54.95	Facility		$16.98	$26.92	$54.95
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 $7,079.46 / $7,079.46 / $12,589.25	Facility		$7,079.46	$7,079.46	$12,589.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Professional		$21.38	$21.38	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $28.18 / $37.15	Facility		$18.62	$28.18	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $35.48	Professional		$12.02	$15.85	$35.48
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $398.11	Professional		$162.18	$398.11	$398.11