Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.86 / $1,258.93	Facility		$28.84	$47.86	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $35.48	Professional		$14.13	$20.42	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.70 / $34.67	Professional		$14.79	$25.70	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $67.61	Facility		$28.18	$33.88	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Professional		$25.70	$25.70	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $22.39	Facility		$15.14	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $31.62	Professional		$16.22	$16.22	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $20.89	Professional		$13.80	$15.14	$20.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $29.51 / $47.86	Facility		$12.88	$29.51	$47.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.79 / $26.92	Facility		$10.00	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $23.99	Professional		$12.30	$16.60	$23.99
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19