Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $46.90 / $152.25	Facility		$2.21	$46.90	$152.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.73	Professional		$1.59	$1.59	$1.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $11.38	Professional		$8.53	$8.53	$11.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Facility		$1.73	$1.73	$1.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $2.02	Professional		$1.73	$1.73	$2.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $2.23 / $31.20	Facility		$0.34	$2.23	$31.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Professional		$0.34	$0.34	$0.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $23.42 / $28.95	Professional		$17.10	$23.42	$28.95
United Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $17.61	Facility		$13.02	$13.02	$17.61
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.20	Professional		$1.69	$1.69	$2.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $90.00	Facility		$75.00	$85.00	$90.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $420.79	Professional		$25.50	$25.50	$420.79