Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $233.08 / $719.40	Facility		$59.40	$233.08	$719.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $8.88 / $30.89	Professional		$5.68	$8.88	$30.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $8.10 / $13.91	Professional		$5.21	$8.10	$13.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $8.81 / $26.92	Professional		$5.61	$8.81	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Facility		$12.74	$12.74	$12.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $22.55 / $30.96	Professional		$17.26	$22.55	$30.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $10.90 / $27.00	Facility		$5.74	$10.90	$27.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $12.00 / $27.49	Professional		$10.90	$12.00	$27.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,822.73 / $2,822.73 / $10,873.88	Facility		$2,822.73	$2,822.73	$10,873.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $9.75 / $13.58	Professional		$6.24	$9.75	$13.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $10.53 / $19.26	Professional		$7.10	$10.53	$19.26
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $79.43 / $101.00	Facility		$12.33	$79.43	$101.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $102.51 / $102.51	Professional		$102.51	$102.51	$102.51