Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $69.18 / $141.25	Facility		$12.59	$69.18	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $17.78	Professional		$10.00	$11.22	$17.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.33 / $81.28	Professional		$9.12	$9.33	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.90 / $50.12	Facility		$22.91	$30.90	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.55 / $12.30	Professional		$6.03	$9.55	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.95 / $35.48	Facility		$8.71	$19.95	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.55 / $19.50	Professional		$8.71	$9.55	$19.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $26.30 / $46.77	Professional		$11.22	$26.30	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.75 / $26.30	Facility		$10.72	$11.75	$26.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $16.60	Professional		$10.96	$15.14	$16.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $23.44	Facility		$7.08	$13.49	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.33 / $19.05	Professional		$6.76	$9.33	$19.05
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65