Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $72.18 / $105.87	Professional		$34.90	$72.18	$105.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $49.28 / $87.51 / $90.00	Professional	25	$49.28	$87.51	$90.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $75.34 / $144.10	Professional		$75.34	$75.34	$144.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $118.68 / $118.68 / $118.68	Professional	25	$118.68	$118.68	$118.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $61.13	Professional		$61.00	$61.00	$61.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $79.94 / $79.94	Facility		$79.94	$79.94	$79.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $68.18 / $154.03	Professional		$39.65	$68.18	$154.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.67 / $68.28 / $107.85	Facility		$49.67	$68.28	$107.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $88.63 / $126.88	Professional		$55.54	$88.63	$126.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $70.11 / $116.54	Professional		$33.42	$70.11	$116.54
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $247.71 / $247.71 / $247.71	Facility		$247.71	$247.71	$247.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $325.91 / $563.47 / $727.80	Professional		$325.91	$563.47	$727.80