Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $36.31 / $154.88	Facility		$8.71	$36.31	$154.88
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $56.23 / $134.90 / $281.84	Facility	25	$56.23	$134.90	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $21.88 / $50.12	Professional		$7.94	$21.88	$50.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.05 / $33.88 / $67.61	Professional	25	$19.05	$33.88	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $21.88 / $33.88	Professional		$9.33	$21.88	$33.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $17.78 / $22.39 / $29.51	Professional	25	$17.78	$22.39	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $27.54 / $44.67	Professional		$10.96	$27.54	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $125.89 / $151.36	Facility		$27.54	$125.89	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $21.88 / $39.81	Professional		$9.33	$21.88	$39.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $42.66	Professional		$23.99	$23.99	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $20.42 / $35.48	Facility		$8.51	$20.42	$35.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $22.91 / $50.12	Professional		$8.13	$22.91	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $48.98	Facility		$21.88	$21.88	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.78 / $31.62	Professional		$8.32	$17.78	$31.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $489.78	Professional		$218.78	$489.78	$489.78