Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $115.22 / $736.44	Facility		$42.75	$115.22	$736.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $61.99 / $261.58	Professional		$3.35	$61.99	$261.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $155.44 / $157.83	Facility		$126.23	$155.44	$157.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $56.59	Professional		$2.89	$2.89	$56.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $9.00	Professional		$3.02	$3.02	$9.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $9.90 / $61.99	Facility		$3.59	$9.90	$61.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $50.85 / $50.85	Professional		$50.85	$50.85	$50.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,481.88 / $4,762.68 / $7,972.53	Facility		$4,481.88	$4,762.68	$7,972.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.68	Professional		$3.02	$3.02	$4.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00