Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $42.00 / $85.26	Facility		$1.95	$42.00	$85.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.89 / $4.38	Professional		$1.69	$1.89	$4.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.58 / $4.41	Facility		$3.08	$3.58	$4.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.14	Professional		$2.02	$2.02	$2.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Facility		$1.81	$1.81	$1.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $5.15	Professional		$1.81	$1.81	$5.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.15 / $5.67	Facility		$1.69	$2.15	$5.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $22,789.06 / $22,789.06 / $54,646.88	Facility		$22,789.06	$22,789.06	$54,646.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.39	Professional		$1.81	$1.81	$2.39
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00