Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $98.79 / $153.71	Professional		$24.60	$98.79	$153.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.16 / $105.90 / $327.51	Professional	25	$21.16	$105.90	$327.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $115.08 / $155.96	Professional		$107.03	$115.08	$155.96
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $107.03 / $107.03 / $208.67	Professional	25	$107.03	$107.03	$208.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $61.20	Professional		$61.00	$61.00	$61.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $120.68 / $120.68	Facility		$120.68	$120.68	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $99.36 / $223.06	Professional		$57.57	$99.36	$223.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $95.54 / $155.08	Facility		$69.00	$95.54	$155.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Professional		$152.00	$152.00	$152.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $133.78 / $179.64	Professional		$83.83	$133.78	$179.64
United Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $106.34 / $140.78	Professional		$60.31	$106.34	$140.78
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $372.83 / $372.83 / $372.83	Facility		$372.83	$372.83	$372.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $797.90 / $1,027.88	Professional		$476.78	$797.90	$1,027.88