Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $114.82 / $870.96	Facility		$57.54	$114.82	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $47.86 / $416.87	Professional		$4.47	$47.86	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $10.96	Professional		$8.91	$10.96	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.52 / $5.25	Facility		$0.39	$0.52	$5.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $2.09	Professional		$0.10	$0.11	$2.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.46	Professional		$0.11	$0.11	$0.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.22 / $2.19	Facility		$0.11	$0.22	$2.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $31,622.78	Facility		$2,344.23	$2,344.23	$31,622.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.40 / $30.20	Professional		$0.10	$0.40	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.20 / $0.22	Facility		$0.15	$0.20	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.13	Professional		$0.11	$0.12	$0.13
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 $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03