Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $112.20 / $251.19	Facility		$35.48	$112.20	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $52.48	Professional		$25.70	$32.36	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $89.13	Facility		$58.88	$74.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $51.29	Professional		$20.89	$26.30	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $93.33	Facility		$23.99	$54.95	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $36.31 / $51.29	Facility		$28.18	$36.31	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $158.49	Facility		$72.44	$72.44	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $58.88	Professional		$53.70	$53.70	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $45.71 / $58.88	Facility		$28.84	$45.71	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $47.86	Professional		$14.79	$20.89	$47.86
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $263.03	Professional		$173.78	$173.78	$263.03