Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $154.00 / $330.48	Facility		$46.76	$154.00	$330.48
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $164.22 / $248.30 / $290.82	Facility	25	$164.22	$248.30	$290.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $107.03 / $270.00	Professional		$52.17	$107.03	$270.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.12 / $120.49 / $288.02	Professional	25	$58.12	$120.49	$288.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $94.50	Professional	50	$94.50	$94.50	$94.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $126.27 / $184.10	Professional		$90.58	$126.27	$184.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $101.35 / $137.13 / $184.10	Professional	25	$101.35	$137.13	$184.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $149.78 / $221.48	Professional		$100.46	$149.78	$221.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $129.72 / $150.00	Facility		$95.00	$129.72	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $126.25 / $213.20	Professional		$75.89	$126.25	$213.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $112.31 / $175.48	Facility		$84.99	$112.31	$175.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $134.00 / $179.00	Professional		$60.00	$134.00	$179.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $136.50 / $160.13 / $419.56	Professional	50	$136.50	$160.13	$419.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $155.33 / $241.11	Professional		$95.41	$155.33	$241.11
United Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $119.27 / $207.62	Professional		$82.07	$119.27	$207.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $240.96 / $475.57 / $475.57	Facility		$240.96	$475.57	$475.57
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $607.94 / $801.06 / $801.06	Professional		$607.94	$801.06	$801.06