Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $88.09 / $329.06	Facility		$63.29	$88.09	$329.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $144.16 / $253.80	Professional		$109.50	$144.16	$253.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $226.82 / $320.80 / $320.80	Professional	25	$226.82	$320.80	$320.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $507.56 / $507.56 / $507.56	Professional	52	$507.56	$507.56	$507.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $128.50 / $201.59	Professional		$105.55	$128.50	$201.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $154.81 / $295.55	Professional		$119.63	$154.81	$295.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.37 / $246.37 / $246.37	Facility		$246.37	$246.37	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $142.72 / $268.14	Professional		$75.00	$142.72	$268.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $174.97 / $229.32	Facility		$131.22	$174.97	$229.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $164.00 / $190.00	Professional		$110.00	$164.00	$190.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $155.54 / $267.95	Professional		$108.92	$155.54	$267.95
United Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $157.58 / $296.22	Professional		$116.48	$157.58	$296.22
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $713.45 / $713.45 / $713.45	Facility		$713.45	$713.45	$713.45
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $947.18 / $1,168.05 / $1,377.38	Professional		$947.18	$1,168.05	$1,377.38