Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $29.21 / $38.07	Facility		$27.15	$29.21	$38.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $36.86 / $63.00	Professional		$24.37	$36.86	$63.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $30.28 / $57.94 / $144.00	Professional	25	$30.28	$57.94	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.76 / $15.11 / $21.55	Professional	52	$11.76	$15.11	$21.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $50.67 / $58.41	Professional		$35.61	$50.67	$58.41
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $36.54 / $48.73 / $70.61	Professional	25	$36.54	$48.73	$70.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $56.99 / $84.24	Professional		$42.13	$56.99	$84.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $43.12	Professional		$34.82	$34.82	$43.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $36.00 / $58.64	Facility		$27.15	$36.00	$58.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $37.45 / $99.27	Professional		$32.93	$37.45	$99.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $48.81 / $80.80	Professional		$26.93	$48.81	$80.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $42.80 / $86.76	Professional		$31.56	$42.80	$86.76
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $132.21 / $140.72 / $140.72	Facility		$132.21	$140.72	$140.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $171.97 / $245.75 / $327.08	Professional		$171.97	$245.75	$327.08