Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $313.02 / $420.34	Facility		$79.76	$313.02	$420.34
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $129.81 / $345.75 / $491.40	Facility	25	$129.81	$345.75	$491.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $52.50 / $87.55	Professional		$30.72	$52.50	$87.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $67.13 / $107.14	Professional		$44.00	$67.13	$107.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $67.84 / $89.74	Professional		$48.01	$67.84	$89.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $48.16	Facility		$48.16	$48.16	$48.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $56.16 / $99.36	Professional		$35.10	$56.16	$99.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $58.40 / $92.20	Facility		$40.00	$58.40	$92.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $55.00 / $103.68	Professional		$38.82	$55.00	$103.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $67.72 / $92.59	Professional		$41.04	$67.72	$92.59
United Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $44.63 / $81.23	Professional		$34.33	$44.63	$81.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $199.83 / $199.83	Facility		$130.78	$199.83	$199.83
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00