Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.73 / $88.78 / $422.65	Facility		$63.73	$88.78	$422.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $191.10 / $191.10 / $191.10	Facility	25	$191.10	$191.10	$191.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $160.88 / $298.20	Professional		$124.17	$160.88	$298.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $172.37 / $172.37 / $268.00	Professional	25	$172.37	$172.37	$268.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $182.63 / $273.56	Professional		$136.54	$182.63	$273.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $176.19 / $268.47	Professional		$136.13	$176.19	$268.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.49 / $280.49 / $280.49	Facility		$280.49	$280.49	$280.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $166.35 / $338.17	Professional		$65.00	$166.35	$338.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $170.52 / $239.20	Facility		$109.44	$170.52	$239.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $184.00 / $191.10	Professional		$135.00	$184.00	$191.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $176.19 / $300.32	Professional		$119.63	$176.19	$300.32
United Facility/Professional Professional Modifier Low / Median / High Price $121.65 / $169.52 / $359.75	Professional		$121.65	$169.52	$359.75
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $818.71 / $818.71 / $818.71	Facility		$818.71	$818.71	$818.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,080.07 / $1,348.43 / $1,560.60	Professional		$1,080.07	$1,348.43	$1,560.60