Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $37.47 / $665.92	Facility		$13.84	$37.47	$665.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $21.08 / $58.76	Professional		$11.48	$21.08	$58.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $23.02 / $80.00	Professional	25	$20.07	$23.02	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $22.41 / $28.61	Professional		$12.20	$22.41	$28.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $43.12 / $43.12	Professional		$25.82	$43.12	$43.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Facility		$25.46	$25.46	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $28.83 / $43.67	Professional		$17.53	$28.83	$43.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $20.28 / $46.00	Facility		$13.84	$20.28	$46.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $24.00 / $42.42	Professional		$20.28	$24.00	$42.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,516.79 / $4,985.50 / $5,804.33	Facility		$4,516.79	$4,985.50	$5,804.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $14.20 / $28.58	Professional		$6.82	$14.20	$28.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $21.20 / $37.43	Professional		$14.34	$21.20	$37.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $79.97 / $101.68	Facility		$31.28	$79.97	$101.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00