Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $129.41 / $285.08	Facility		$82.50	$129.41	$285.08
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $57.02 / $81.58 / $407.88	Facility	25	$57.02	$81.58	$407.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $111.59 / $222.36	Professional		$66.54	$111.59	$222.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $125.88 / $174.57	Professional		$91.28	$125.88	$174.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $155.36 / $227.70	Professional		$106.61	$155.36	$227.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $119.61 / $217.69	Professional		$79.40	$119.61	$217.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $111.36 / $180.87	Facility		$76.00	$111.36	$180.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $103.51 / $244.44	Professional		$70.00	$103.51	$244.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $119.59 / $154.51	Professional		$78.00	$119.59	$154.51
United Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $109.14 / $191.30	Professional		$81.37	$109.14	$191.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $178.16 / $400.05	Facility		$178.16	$178.16	$400.05
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $613.55 / $613.55 / $613.55	Professional		$613.55	$613.55	$613.55