Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $209.96 / $209.96	Facility		$71.87	$209.96	$209.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $71.23 / $127.14	Professional		$56.87	$71.23	$127.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.75 / $151.65 / $274.54	Professional	25	$58.75	$151.65	$274.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $97.81 / $117.77	Professional		$97.81	$97.81	$117.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $92.94 / $100.12 / $127.82	Professional	25	$92.94	$100.12	$127.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $130.63 / $179.02	Professional		$82.89	$130.63	$179.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $106.51 / $150.06	Professional		$69.23	$106.51	$150.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $83.40 / $121.04	Facility		$60.55	$83.40	$121.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $90.00 / $463.84	Professional		$88.00	$90.00	$463.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $109.07 / $137.56	Professional		$68.34	$109.07	$137.56
United Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $84.12 / $145.56	Professional		$65.45	$84.12	$145.56
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $348.46 / $348.46 / $348.46	Facility		$348.46	$348.46	$348.46
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $450.62 / $454.95 / $454.95	Professional		$450.62	$454.95	$454.95