Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.01 / $119.00 / $217.34	Facility		$76.01	$119.00	$217.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $91.93 / $143.50	Professional		$69.43	$91.93	$143.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $173.60 / $173.60 / $173.60	Professional	25	$173.60	$173.60	$173.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $85.63 / $126.09	Professional		$67.20	$85.63	$126.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $98.57 / $164.19	Professional		$76.17	$98.57	$164.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Facility		$156.66	$156.66	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $168.94	Professional		$63.00	$90.00	$168.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.07 / $154.41	Facility		$71.00	$100.07	$154.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $100.00 / $106.00	Professional		$70.00	$100.00	$106.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $98.41 / $151.75	Professional		$71.23	$98.41	$151.75
United Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $99.28 / $192.73	Professional		$75.25	$99.28	$192.73
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $454.43 / $454.43 / $454.43	Facility		$454.43	$454.43	$454.43
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $588.02 / $740.78 / $856.73	Professional		$588.02	$740.78	$856.73