Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.83 / $94.00 / $141.28	Facility		$47.83	$94.00	$141.28
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $95.50 / $135.61 / $144.30	Facility	25	$95.50	$135.61	$144.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $70.70 / $160.49	Professional		$43.81	$70.70	$160.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.39 / $80.23 / $162.88	Professional	25	$57.39	$80.23	$162.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $93.03 / $126.19	Professional		$56.38	$93.03	$126.19
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $56.38 / $86.23 / $126.19	Professional	25	$56.38	$86.23	$126.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $92.86 / $148.53	Professional		$59.57	$92.86	$148.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $120.00 / $150.00	Facility		$62.64	$120.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $79.77 / $140.63	Professional		$49.97	$79.77	$140.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $72.86 / $109.62	Facility		$47.90	$72.86	$109.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $93.00 / $103.00	Professional		$47.00	$93.00	$103.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $80.15 / $134.50	Professional		$47.66	$80.15	$134.50
United Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $78.77 / $142.91	Professional		$59.01	$78.77	$142.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $134.93 / $229.71 / $229.71	Facility		$134.93	$229.71	$229.71
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $456.37 / $456.37	Professional		$302.33	$456.37	$456.37