Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $98.77 / $130.28	Facility		$41.73	$98.77	$130.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $37.36 / $53.59	Professional		$23.91	$37.36	$53.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $50.00 / $53.47	Professional		$34.22	$50.00	$53.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $50.18 / $101.57	Professional		$32.11	$50.18	$101.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Facility		$57.70	$57.70	$57.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $55.92 / $96.40	Professional		$33.36	$55.92	$96.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $43.29 / $62.87	Facility		$27.44	$43.29	$62.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $37.04 / $76.00	Professional		$32.86	$37.04	$76.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $52.01 / $57.22	Professional		$49.41	$52.01	$57.22
United Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $55.55 / $92.87	Professional		$43.80	$55.55	$92.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $209.24 / $209.24 / $209.24	Facility		$209.24	$209.24	$209.24
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $311.22	Professional		$254.57	$254.57	$311.22