Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $186.87 / $890.11	Facility		$35.04	$186.87	$890.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $19.97 / $84.30	Professional		$10.19	$19.97	$84.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $17.84	Professional		$9.86	$9.86	$17.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $19.14 / $26.61	Professional		$15.44	$19.14	$26.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $14.51 / $25.09	Professional		$10.51	$14.51	$25.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $12.35 / $18.54	Facility		$10.19	$12.35	$18.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $27.05 / $55.62	Professional		$12.35	$27.05	$55.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,020.64 / $4,219.17 / $5,266.44	Facility		$4,020.64	$4,219.17	$5,266.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $16.72 / $20.32	Professional		$11.33	$16.72	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $13.10 / $24.19	Professional		$9.98	$13.10	$24.19
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $90.00 / $90.00	Facility		$22.25	$90.00	$90.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $104.18 / $104.18	Professional		$90.00	$104.18	$104.18