Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $91.02 / $230.35	Facility		$56.42	$91.02	$230.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $56.42 / $60.61	Professional		$55.10	$56.42	$60.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $38.42 / $51.22	Professional		$38.42	$38.42	$51.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $66.38	Professional		$56.42	$56.42	$66.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $67.70 / $85.07	Facility		$37.60	$67.70	$85.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Professional		$64.41	$64.41	$64.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.26 / $1,021.26 / $1,021.26	Facility		$1,021.26	$1,021.26	$1,021.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $123.89 / $153.19	Professional		$66.70	$123.89	$153.19
United Facility/Professional Facility Modifier Low / Median / High Price $187.21 / $187.21 / $187.21	Facility		$187.21	$187.21	$187.21
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $74.58	Professional		$56.50	$56.50	$74.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $92.20 / $132.76	Facility		$78.37	$92.20	$132.76
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $252.24 / $252.24 / $298.70	Professional		$252.24	$252.24	$298.70