Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $69.18 / $302.00	Facility		$20.89	$69.18	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.85	Professional		$12.02	$12.88	$15.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $141.25	Professional		$36.31	$36.31	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $47.86	Professional		$40.74	$44.67	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.80 / $24.55	Facility		$12.88	$13.80	$24.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $109.65	Facility		$72.44	$97.72	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $16.98	Professional		$12.88	$12.88	$16.98
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00