Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $91.39 / $131.78	Facility		$12.19	$91.39	$131.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $12.67 / $20.84	Professional		$5.86	$12.67	$20.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.84 / $20.00	Professional		$7.09	$9.84	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $48.69 / $54.98	Facility		$23.97	$48.69	$54.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $9.22	Professional		$6.38	$6.38	$9.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $15.01 / $37.36	Facility		$9.68	$15.01	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.39 / $20.65	Professional		$8.99	$10.39	$20.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $12.86 / $27.73	Facility		$10.97	$12.86	$27.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $20.30 / $26.00	Professional		$15.08	$20.30	$26.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.57 / $1,250.57 / $1,250.57	Facility		$1,250.57	$1,250.57	$1,250.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.90 / $19.34	Professional		$7.09	$9.90	$19.34
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $67.36 / $100.00	Facility		$50.00	$67.36	$100.00