Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.77 / $155.53 / $289.45	Facility		$99.77	$155.53	$289.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $128.83 / $231.80	Professional		$98.30	$128.83	$231.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $220.38 / $220.38 / $442.00	Professional	25	$220.38	$220.38	$442.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $116.99 / $185.77	Professional		$99.46	$116.99	$185.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $145.88 / $243.92	Professional		$106.10	$145.88	$243.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $231.96 / $231.96	Facility		$231.96	$231.96	$231.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $127.11 / $252.83	Professional		$74.00	$127.11	$252.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $145.15 / $209.70	Facility		$104.04	$145.15	$209.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $138.72 / $159.00	Professional		$120.27	$138.72	$159.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $135.75 / $221.12	Professional		$104.79	$135.75	$221.12
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $140.62 / $311.54	Professional		$110.00	$140.62	$311.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $672.17 / $672.17 / $672.17	Facility		$672.17	$672.17	$672.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $870.26 / $1,097.33 / $1,269.83	Professional		$870.26	$1,097.33	$1,269.83