Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $123.00 / $183.41	Professional		$37.49	$123.00	$183.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $218.26 / $387.83	Professional	25	$80.00	$218.26	$387.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $138.33 / $251.27	Professional		$126.86	$138.33	$251.27
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $135.53 / $139.55 / $186.51	Professional	25	$135.53	$139.55	$186.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $61.18	Professional		$61.00	$61.00	$61.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $149.77 / $149.77	Facility		$149.77	$149.77	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $123.15 / $269.19	Professional		$65.00	$123.15	$269.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.30 / $132.00 / $204.00	Facility		$93.30	$132.00	$204.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Professional		$183.00	$183.00	$183.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $163.69 / $212.99	Professional		$104.03	$163.69	$212.99
United Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $122.13 / $168.20	Professional		$62.72	$122.13	$168.20
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $460.75 / $460.75 / $460.75	Facility		$460.75	$460.75	$460.75
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $592.72 / $944.28 / $1,210.43	Professional		$592.72	$944.28	$1,210.43