Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $71.34 / $481.07	Facility		$50.27	$71.34	$481.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $30.75 / $66.13	Professional		$18.64	$30.75	$66.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.58 / $37.60	Professional		$17.89	$20.58	$37.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $27.43 / $58.61	Professional		$20.27	$27.43	$58.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.81 / $41.81	Facility		$41.81	$41.81	$41.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $35.00 / $58.42	Professional		$20.00	$35.00	$58.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $40.00 / $77.81	Facility		$22.62	$40.00	$77.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $32.00 / $125.00	Professional		$25.00	$32.00	$125.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $40.00 / $49.13	Professional		$26.76	$40.00	$49.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $40.00 / $58.58	Professional		$25.34	$40.00	$58.58
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $120.84 / $1,200.00	Facility		$120.84	$120.84	$1,200.00
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $232.58 / $408.25	Professional		$156.24	$232.58	$408.25