Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.26 / $129.68 / $299.85	Facility		$97.26	$129.68	$299.85
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $12.34 / $98.60 / $247.96	Facility	25	$12.34	$98.60	$247.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $106.83 / $246.25	Professional		$78.41	$106.83	$246.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.88 / $155.90 / $185.90	Professional		$120.88	$155.90	$185.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $170.81 / $243.07	Professional		$125.86	$170.81	$243.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $137.44 / $229.54	Professional		$99.00	$137.44	$229.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $123.67 / $193.85	Facility		$105.78	$123.67	$193.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $107.92 / $253.77	Professional		$76.13	$107.92	$253.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $168.80 / $209.22	Professional		$107.00	$168.80	$209.22
United Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $118.68 / $214.87	Professional		$90.38	$118.68	$214.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $247.06 / $258.00 / $564.82	Facility		$247.06	$258.00	$564.82
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $657.86 / $657.86 / $657.86	Professional		$657.86	$657.86	$657.86