Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $63.00 / $112.67	Facility		$8.00	$63.00	$112.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.35 / $9.80	Professional		$4.80	$5.35	$9.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $4.17 / $26.34	Professional		$1.65	$4.17	$26.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $12.53 / $21.77	Facility		$10.17	$12.53	$21.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $3.91	Professional		$3.61	$3.61	$3.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $6.36 / $16.01	Facility		$4.11	$6.36	$16.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.38 / $14.15	Professional		$3.83	$4.38	$14.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.23 / $11.73	Facility		$4.63	$5.23	$11.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.60 / $11.00	Professional		$8.10	$8.60	$11.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,024.86 / $2,178.64 / $4,491.66	Facility		$2,024.86	$2,178.64	$4,491.66
United Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $4.43 / $6.01	Facility		$3.15	$4.43	$6.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.09 / $8.19	Professional		$3.01	$4.09	$8.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $60.00 / $100.00	Facility		$35.21	$60.00	$100.00