Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $60.35 / $164.50	Facility		$21.50	$60.35	$164.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $13.26 / $14.24	Professional		$12.95	$13.26	$14.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $36.20 / $36.20	Professional		$36.20	$36.20	$36.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $54.81	Professional		$41.11	$41.11	$54.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $15.60	Professional		$13.26	$13.26	$15.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $20.00 / $48.00	Facility		$12.75	$20.00	$48.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,141.18 / $5,141.18 / $5,141.18	Facility		$5,141.18	$5,141.18	$5,141.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $62.23 / $74.18	Professional		$59.63	$62.23	$74.18
United Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $97.66	Facility		$72.20	$72.20	$97.66
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $18.59	Professional		$13.00	$13.00	$18.59
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $101.10 / $101.10	Professional		$101.10	$101.10	$101.10