Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $65.09 / $93.59	Professional		$39.14	$65.09	$93.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.00 / $60.00 / $173.49	Professional	25	$60.00	$60.00	$173.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $112.77 / $136.90	Professional		$76.54	$112.77	$136.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $61.04	Professional		$61.00	$61.00	$61.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $67.23 / $146.34	Professional		$37.29	$67.23	$146.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $73.03 / $112.41	Facility		$45.72	$73.03	$112.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $80.56 / $120.84	Professional		$50.48	$80.56	$120.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $70.19 / $98.36	Professional		$39.50	$70.19	$98.36
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $223.73 / $223.73 / $223.73	Facility		$223.73	$223.73	$223.73
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $544.05 / $690.83	Professional		$308.83	$544.05	$690.83