Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $67.61 / $524.81	Facility		$15.49	$67.61	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.65 / $77.62	Professional		$19.95	$43.65	$77.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $64.57 / $95.50	Professional	25	$64.57	$64.57	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $31.62	Professional		$18.20	$22.91	$31.62
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	25	$20.89	$20.89	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $37.15	Professional		$20.42	$26.92	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $57.54	Professional		$19.95	$36.31	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $44.67 / $77.62	Facility		$23.99	$44.67	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $46.77	Professional		$26.30	$39.81	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $54.95	Professional		$23.99	$36.31	$54.95
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $407.38	Professional		$234.42	$234.42	$407.38