Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $203.04 / $352.46	Facility		$91.68	$203.04	$352.46
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $224.80 / $313.02 / $317.25	Facility	25	$224.80	$313.02	$317.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $151.97 / $374.91	Professional		$83.74	$151.97	$374.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $84.64 / $176.07 / $399.68	Professional	25	$84.64	$176.07	$399.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $190.43 / $247.67	Professional		$133.43	$190.43	$247.67
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $150.82 / $224.00 / $293.25	Professional	25	$150.82	$224.00	$293.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $207.73 / $298.74	Professional		$143.94	$207.73	$298.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $142.00 / $191.64	Facility		$95.00	$142.00	$191.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $175.42 / $297.64	Professional		$110.99	$175.42	$297.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $157.88 / $246.03	Facility		$123.00	$157.88	$246.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $181.00 / $251.00	Professional		$85.00	$181.00	$251.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $227.85 / $338.03	Professional		$140.69	$227.85	$338.03
United Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $155.75 / $278.56	Professional		$114.21	$155.75	$278.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $337.98 / $705.38 / $705.38	Facility		$337.98	$705.38	$705.38
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $901.73 / $1,127.38 / $1,127.38	Professional		$901.73	$1,127.38	$1,127.38