Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $67.45 / $234.40	Facility		$2.54	$67.45	$234.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.56 / $22.70	Professional		$0.35	$0.56	$22.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.00 / $50.00	Professional		$36.00	$45.00	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.19 / $55.92	Facility		$1.78	$2.19	$55.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $2.27 / $20.02	Professional		$0.45	$2.27	$20.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $85.00	Facility		$0.34	$0.34	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $2.40	Professional		$0.34	$0.34	$2.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.86 / $13.77 / $40.67	Facility		$0.86	$13.77	$40.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.00 / $27.00	Professional		$0.79	$1.00	$27.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $22,425.94 / $22,425.94 / $40,201.16	Facility		$22,425.94	$22,425.94	$40,201.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.59 / $1.60	Professional		$0.56	$0.59	$1.60
United Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $0.83	Facility		$0.61	$0.61	$0.83
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.38 / $0.43	Professional		$0.36	$0.38	$0.43
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $506.16 / $514.89 / $514.89	Professional		$506.16	$514.89	$514.89