Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $734.14 / $1,640.10	Facility		$42.51	$734.14	$1,640.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.38 / $123.75	Professional		$20.35	$22.38	$123.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $29.68 / $29.68	Professional		$29.68	$29.68	$29.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $53.21 / $81.88	Facility		$29.34	$53.21	$81.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $33.44 / $150.65	Professional		$30.40	$33.44	$150.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $92.65	Facility		$19.20	$20.35	$92.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $102.18	Professional		$20.35	$20.35	$102.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $70.00 / $212.40	Facility		$17.14	$70.00	$212.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $63.00 / $132.00	Professional		$17.14	$63.00	$132.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $33.47 / $93.70	Professional		$32.56	$33.47	$93.70
United Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $34.49 / $46.65	Facility		$34.49	$34.49	$46.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $24.51	Professional		$20.35	$21.57	$24.51
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $272.45 / $628.59 / $628.59	Facility		$272.45	$628.59	$628.59
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $573.77 / $573.77 / $573.77	Professional		$573.77	$573.77	$573.77