Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $57.54 / $97.72	Facility		$5.62	$57.54	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.01 / $16.98	Professional		$3.80	$5.01	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.47 / $5.75	Professional		$2.45	$3.47	$5.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.22 / $16.22	Facility		$11.75	$16.22	$16.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.17 / $6.17	Professional		$4.37	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $8.51 / $15.14	Facility		$2.95	$8.51	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.57 / $8.32	Professional		$2.69	$4.57	$8.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $8.32 / $10.00	Professional		$3.55	$8.32	$10.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.27 / $7.41	Facility		$3.55	$4.27	$7.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.98	Professional		$3.63	$3.63	$3.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $691.83 / $2,187.76	Facility		$660.69	$691.83	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.75 / $7.41	Facility		$2.88	$5.75	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.80 / $6.03	Professional		$3.47	$3.80	$6.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $100.00	Facility		$60.26	$60.26	$100.00