Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $77.56 / $173.23	Facility		$13.87	$77.56	$173.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $13.06 / $27.18	Professional		$4.97	$13.06	$27.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $10.47 / $21.27	Professional		$4.15	$10.47	$21.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $51.76 / $58.45	Facility		$25.55	$51.76	$58.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $6.79 / $9.80	Professional		$6.79	$6.79	$9.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $15.93 / $40.03	Facility		$10.29	$15.93	$40.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $11.12 / $21.68	Professional		$9.48	$11.12	$21.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $13.14 / $29.48	Facility		$11.67	$13.14	$29.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $21.59 / $28.00	Professional		$13.46	$21.59	$28.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $683.49 / $683.49 / $2,427.46	Facility		$683.49	$683.49	$2,427.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $10.34 / $20.56	Professional		$6.79	$10.34	$20.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $71.94 / $100.00	Facility		$53.53	$71.94	$100.00