Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $748.40 / $1,266.89	Facility		$105.86	$748.40	$1,266.89
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $481.33 / $902.16 / $2,107.11	Facility	25	$481.33	$902.16	$2,107.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $66.98 / $149.96	Professional		$51.40	$66.98	$149.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $65.68 / $148.44 / $325.22	Professional	25	$65.68	$148.44	$325.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $108.37 / $203.61	Professional		$70.61	$108.37	$203.61
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $68.88 / $97.70 / $203.61	Professional	25	$68.88	$97.70	$203.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $108.37 / $139.38	Professional		$80.87	$108.37	$139.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $82.02 / $82.02	Facility		$82.02	$82.02	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $89.98 / $152.57	Professional		$61.49	$89.98	$152.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $84.39 / $142.16	Facility		$67.29	$84.39	$142.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $82.00 / $154.58	Professional		$65.68	$82.00	$154.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $115.06 / $154.80	Professional		$69.23	$115.06	$154.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $70.06 / $125.07	Professional		$54.85	$70.06	$125.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $337.35 / $337.35	Facility		$233.78	$337.35	$337.35
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00