Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $380.19 / $812.83	Facility		$91.20	$380.19	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $169.82 / $457.09	Professional		$66.07	$169.82	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $28.84	Professional		$22.91	$23.99	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.48 / $0.83	Facility		$0.33	$0.48	$0.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.42	Professional		$0.24	$0.24	$0.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Facility		$0.24	$0.24	$0.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.71	Professional		$0.24	$0.24	$0.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.25 / $0.26	Facility		$0.21	$0.25	$0.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.40 / $0.44	Facility		$0.28	$0.40	$0.44
United Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.60 / $0.78	Professional		$0.59	$0.60	$0.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00