Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.36 / $2,228.25 / $3,109.30	Facility		$351.36	$2,228.25	$3,109.30
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $954.46 / $2,627.54 / $5,617.85	Facility	25	$954.46	$2,627.54	$5,617.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $231.68 / $633.60	Professional		$175.71	$231.68	$633.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $175.71 / $259.30 / $924.00	Professional	25	$175.71	$259.30	$924.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.96 / $382.19 / $470.14	Professional		$235.96	$382.19	$470.14
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $235.96 / $345.73 / $538.98	Professional	25	$235.96	$345.73	$538.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $417.22 / $565.97	Professional		$292.77	$417.22	$565.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $4,636.00	Facility		$286.33	$286.33	$4,636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.85 / $322.14 / $563.50	Professional		$219.85	$322.14	$563.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.43 / $280.60 / $458.26	Facility		$212.43	$280.60	$458.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $352.00 / $671.81	Professional		$175.00	$352.00	$671.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $380.42 / $581.45	Professional		$216.86	$380.42	$581.45
United Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $295.52 / $531.46	Professional		$230.66	$295.52	$531.46
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $517.97 / $1,027.61 / $1,027.61	Facility		$517.97	$1,027.61	$1,027.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,336.39 / $1,733.52 / $1,733.52	Professional		$1,336.39	$1,733.52	$1,733.52