Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $294.22 / $973.76	Facility		$48.96	$294.22	$973.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $21.92 / $91.17	Professional		$11.13	$21.92	$91.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $19.59 / $79.23	Professional		$15.48	$19.59	$79.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $66.48 / $118.88	Professional		$19.47	$66.48	$118.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $50.24 / $101.90	Professional		$13.48	$50.24	$101.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $48.97 / $74.47	Facility		$12.35	$48.97	$74.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $65.93 / $125.10	Professional		$58.70	$65.93	$125.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,811.65 / $7,892.13 / $13,209.23	Facility		$7,811.65	$7,892.13	$13,209.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $45.27 / $79.36	Professional		$14.53	$45.27	$79.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $63.38 / $123.85	Professional		$48.50	$63.38	$123.85
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $92.21 / $92.21	Facility		$92.21	$92.21	$92.21
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $324.58 / $421.73	Professional		$187.24	$324.58	$421.73