Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $51.31 / $84.66	Facility		$50.19	$51.31	$84.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $76.95	Professional		$51.31	$51.31	$76.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $34.63 / $34.63	Professional		$34.63	$34.63	$34.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $107.37 / $107.37	Facility		$107.37	$107.37	$107.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $48.74 / $70.29	Professional		$38.47	$48.74	$70.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $42.39 / $107.16	Facility		$38.99	$42.39	$107.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $100.00 / $100.00	Facility		$51.31	$100.00	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $100.00	Professional		$51.31	$51.31	$100.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,368.32 / $1,379.09 / $2,770.61	Facility		$1,368.32	$1,379.09	$2,770.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $78.50 / $86.61	Professional		$56.44	$78.50	$86.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $30.79 / $56.44	Professional		$25.66	$30.79	$56.44
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $243.72 / $243.72	Facility		$89.28	$243.72	$243.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $255.52 / $384.83	Professional		$255.52	$255.52	$384.83