Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $20.23 / $106.90	Facility		$5.17	$20.23	$106.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.82 / $7.83	Professional		$5.01	$5.82	$7.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $4.49 / $4.49	Professional		$1.78	$4.49	$4.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $13.49 / $21.59	Facility		$10.94	$13.49	$21.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $2.91 / $4.21	Professional		$2.91	$2.91	$4.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $6.85 / $16.89	Facility		$4.42	$6.85	$16.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.74 / $9.28	Professional		$4.16	$4.74	$9.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.87 / $11.66	Facility		$5.01	$5.87	$11.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $8.52 / $11.00	Professional		$4.59	$8.52	$11.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,618.02 / $1,618.02 / $1,618.02	Facility		$1,618.02	$1,618.02	$1,618.02
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $4.76 / $6.47	Facility		$2.10	$4.76	$6.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $4.16 / $8.11	Professional		$2.91	$4.16	$8.11
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $60.00 / $100.00	Facility		$28.61	$60.00	$100.00