Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $43.56 / $110.00	Facility		$7.77	$43.56	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $8.44 / $10.79	Professional		$7.77	$8.44	$10.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.74 / $6.74	Professional		$6.47	$6.74	$6.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $40.49 / $40.49	Facility		$20.26	$40.49	$40.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $6.31	Professional		$4.37	$4.37	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $10.28 / $25.80	Facility		$6.63	$10.28	$25.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $7.11 / $13.94	Professional		$6.16	$7.11	$13.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $8.46 / $18.98	Facility		$7.77	$8.46	$18.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.38 / $18.00	Professional		$8.69	$13.38	$18.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $436.21 / $436.21 / $436.21	Facility		$436.21	$436.21	$436.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.62 / $13.24	Professional		$4.86	$6.62	$13.24
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $60.00 / $100.00	Facility		$43.00	$60.00	$100.00