Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.11 / $52.48	Facility		$19.95	$33.11	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $33.11	Professional		$18.20	$19.95	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $20.89	Professional		$14.79	$17.38	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $54.95	Facility		$40.74	$51.29	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $19.50	Professional		$18.62	$18.62	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Professional		$20.42	$20.42	$21.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.88 / $24.55	Facility		$20.42	$21.88	$24.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $131.83	Facility		$42.66	$42.66	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $25.12	Professional		$20.89	$21.88	$25.12
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Facility		$89.13	$89.13	$100.00