Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $27.54 / $41.69	Facility		$12.88	$27.54	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $24.55 / $74.13	Professional		$11.75	$24.55	$74.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.00 / $26.30 / $79.43	Professional	25	$10.00	$26.30	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.45 / $22.39	Professional		$11.22	$14.45	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $42.66	Professional		$25.70	$41.69	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $46.77	Professional		$16.22	$28.84	$46.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $43.65	Facility		$13.80	$19.95	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,786.30 / $8,709.64	Facility		$4,265.80	$4,786.30	$8,709.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $16.22 / $32.36	Professional		$7.41	$16.22	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $34.67	Professional		$13.80	$20.89	$34.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81