Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $1,023.29 / $1,023.29	Facility		$23.99	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $23.99	Professional		$12.02	$18.20	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $19.95	Professional		$10.00	$19.50	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.02 / $41.69	Facility		$26.30	$38.02	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.38 / $22.91	Professional		$20.89	$21.38	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.92 / $41.69	Facility		$16.60	$26.92	$41.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $22.91 / $38.02	Professional		$0.60	$22.91	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11.22 / $28.18	Facility		$9.12	$11.22	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $18.62	Professional		$9.77	$13.49	$18.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $208.93	Professional		$138.04	$138.04	$208.93