Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $210.00 / $326.70	Facility		$115.20	$210.00	$326.70
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $47.83 / $213.71 / $321.80	Facility	25	$47.83	$213.71	$321.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $167.67 / $395.23	Professional		$110.10	$167.67	$395.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $122.99 / $181.61 / $498.59	Professional	25	$122.99	$181.61	$498.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $216.71 / $279.81	Professional		$147.22	$216.71	$279.81
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $139.91 / $209.87 / $279.81	Professional	25	$139.91	$209.87	$279.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $223.48 / $333.75	Professional		$158.72	$223.48	$333.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $142.00 / $178.29	Facility		$95.00	$142.00	$178.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $187.37 / $315.67	Professional		$124.94	$187.37	$315.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $164.02 / $254.13	Facility		$128.94	$164.02	$254.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $205.00 / $233.00	Professional		$100.00	$205.00	$233.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $215.82 / $319.05	Professional		$135.18	$215.82	$319.05
United Facility/Professional Facility Modifier Low / Median / High Price $183.40 / $188.95 / $188.95	Facility		$183.40	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $175.44 / $319.70	Professional		$128.66	$175.44	$319.70
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $316.97 / $652.65 / $652.65	Facility		$316.97	$652.65	$652.65
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $835.50 / $1,041.60 / $1,041.60	Professional		$835.50	$1,041.60	$1,041.60