Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $115.21 / $115.21	Facility		$45.43	$115.21	$115.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $39.26 / $124.07	Professional		$28.37	$39.26	$124.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $38.04 / $65.09	Professional		$31.25	$38.04	$65.09
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $37.45	Professional	25	$37.45	$37.45	$37.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $55.03 / $112.38	Professional		$27.78	$55.03	$112.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $50.62 / $81.91	Professional		$33.18	$50.62	$81.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $41.22 / $56.12	Facility		$30.27	$41.22	$56.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $46.57 / $89.10	Professional		$36.32	$46.57	$89.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $51.40 / $81.70	Professional		$43.02	$51.40	$81.70
United Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $46.80 / $80.42	Professional		$36.51	$46.80	$80.42
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Facility		$145.91	$145.91	$145.91
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $191.14 / $251.93 / $251.93	Professional		$191.14	$251.93	$251.93