Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $29.68 / $91.14	Facility		$3.63	$29.68	$91.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.50 / $4.78	Professional		$2.45	$3.50	$4.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.39 / $3.39	Professional		$3.26	$3.39	$3.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $16.80 / $18.97	Facility		$8.27	$16.80	$18.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $3.17	Professional		$3.17	$3.17	$3.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $5.19 / $12.45	Facility		$3.33	$5.19	$12.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.65 / $7.23	Professional		$3.16	$3.65	$7.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $4.43 / $9.56	Facility		$3.78	$4.43	$9.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $6.72 / $9.00	Professional		$4.15	$6.72	$9.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,103.42 / $2,103.42 / $2,103.42	Facility		$2,103.42	$2,103.42	$2,103.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.42 / $6.67	Professional		$2.20	$3.42	$6.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $60.00 / $100.00	Facility		$19.00	$60.00	$100.00