Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $26.92 / $338.84	Facility		$1.17	$26.92	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.47	Professional		$1.00	$1.00	$3.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.37 / $5.25	Facility		$3.31	$4.37	$5.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.45 / $2.95	Professional		$1.32	$1.45	$2.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $4.07	Professional		$1.26	$1.26	$4.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.66 / $4.57	Facility		$1.17	$1.66	$4.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1.70 / $30.20	Professional		$0.60	$1.70	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.09 / $2.34	Facility		$1.55	$2.09	$2.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.32 / $1.55	Professional		$1.26	$1.32	$1.55
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 $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14