Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $72.44 / $158.49	Professional		$1.02	$72.44	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Professional		$147.91	$147.91	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.89 / $36.31	Facility		$19.95	$20.89	$36.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $2,187.76	Facility		$812.83	$812.83	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66