Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.37 / $259.70 / $438.13	Facility		$174.37	$259.70	$438.13
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $47.52 / $249.92 / $359.00	Facility	25	$47.52	$249.92	$359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $211.88 / $540.79	Professional		$144.33	$211.88	$540.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $166.73 / $253.10 / $670.32	Professional	25	$166.73	$253.10	$670.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $277.14 / $352.53	Professional		$190.13	$277.14	$352.53
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $199.09 / $276.56 / $359.26	Professional	25	$199.09	$276.56	$359.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.52 / $287.39 / $416.57	Professional		$210.52	$287.39	$416.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $142.00 / $242.44	Facility		$95.00	$142.00	$242.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $242.68 / $406.76	Professional		$162.47	$242.68	$406.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.28 / $215.62 / $333.74	Facility		$170.28	$215.62	$333.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $258.00 / $307.00	Professional		$115.00	$258.00	$307.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $286.57 / $422.68	Professional		$180.05	$286.57	$422.68
United Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $221.68 / $399.20	Professional		$164.52	$221.68	$399.20
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $419.92 / $888.06 / $888.06	Facility		$419.92	$888.06	$888.06
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,134.11 / $1,377.15 / $1,377.15	Professional		$1,134.11	$1,377.15	$1,377.15