Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $71.69 / $149.60	Facility		$5.96	$71.69	$149.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.77 / $11.54	Professional		$5.18	$5.77	$11.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.50 / $9.14	Professional		$4.32	$4.50	$9.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.51 / $23.50	Facility		$10.96	$13.51	$23.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.88 / $6.88	Professional		$4.21	$6.88	$6.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $6.87 / $16.89	Facility		$4.42	$6.87	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $6.97 / $9.28	Professional		$4.16	$6.97	$9.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.66 / $12.68	Facility		$5.01	$5.66	$12.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $9.28 / $12.00	Professional		$5.63	$9.28	$12.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,938.38 / $2,938.38 / $14,977.82	Facility		$2,938.38	$2,938.38	$14,977.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.45 / $8.84	Professional		$3.24	$4.45	$8.84
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $60.00 / $100.00	Facility		$40.13	$60.00	$100.00