Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $60.26 / $104.71	Facility		$9.77	$60.26	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $15.14	Professional		$8.91	$10.72	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.32 / $16.98	Professional		$7.41	$8.32	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $48.98	Facility		$27.54	$48.98	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $10.72	Professional		$8.91	$10.47	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.78 / $30.90	Facility		$7.76	$17.78	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.32 / $16.98	Professional		$7.59	$8.32	$16.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $26.30	Professional		$10.00	$20.89	$26.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.96 / $22.39	Facility		$9.55	$10.96	$22.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $14.45	Professional		$9.55	$14.45	$14.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Facility		$234.42	$234.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.45 / $20.89	Facility		$6.31	$14.45	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $16.22	Professional		$6.03	$7.94	$16.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $81.28	Facility		$66.07	$66.07	$81.28