Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $87.98 / $241.65	Facility		$83.09	$87.98	$241.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $76.95 / $174.45	Professional		$59.36	$76.95	$174.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.36 / $75.00 / $184.03	Professional	25	$59.36	$75.00	$184.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $114.82 / $135.85	Professional		$72.72	$114.82	$135.85
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $75.20 / $106.57 / $135.85	Professional	25	$75.20	$106.57	$135.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $144.68 / $195.32	Professional		$95.54	$144.68	$195.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $118.72 / $171.34	Professional		$77.30	$118.72	$171.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $94.62 / $132.29	Facility		$67.77	$94.62	$132.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $103.00 / $463.84	Professional		$101.00	$103.00	$463.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $119.34 / $152.80	Professional		$75.59	$119.34	$152.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $94.39 / $165.72	Professional		$77.45	$94.39	$165.72
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $98.97 / $99.10	Professional	25	$80.00	$98.97	$99.10
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $368.17 / $368.17 / $368.17	Facility		$368.17	$368.17	$368.17
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $477.95 / $525.69 / $525.69	Professional		$477.95	$525.69	$525.69