Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.62 / $104.22 / $150.40	Facility		$91.62	$104.22	$150.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $68.20 / $102.38	Professional		$50.34	$68.20	$102.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $94.39 / $94.39 / $94.39	Professional	25	$94.39	$94.39	$94.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $70.81 / $97.06	Professional		$53.57	$70.81	$97.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $69.33 / $92.65	Professional		$53.58	$69.33	$92.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $71.00 / $139.55	Professional		$28.00	$71.00	$139.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $71.50 / $112.62	Facility		$36.54	$71.50	$112.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $83.00 / $83.00	Professional		$25.00	$83.00	$83.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $72.23 / $115.97	Professional		$38.63	$72.23	$115.97
United Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $72.23 / $165.03	Professional		$43.73	$72.23	$165.03
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $322.14 / $322.14	Facility		$322.14	$322.14	$322.14
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $529.88 / $603.38	Professional		$408.87	$529.88	$603.38