Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $214.50 / $376.33	Facility		$68.59	$214.50	$376.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $76.79 / $330.97	Professional		$46.06	$76.79	$330.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $90.69 / $95.69	Professional		$50.94	$90.69	$95.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $58.36 / $126.00	Professional		$33.39	$58.36	$126.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $64.79	Professional		$48.80	$48.80	$64.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $50.00 / $82.00	Facility		$21.59	$50.00	$82.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $30.64 / $133.13	Professional		$21.59	$30.64	$133.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $90.03 / $111.80	Professional		$57.68	$90.03	$111.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $54.24 / $130.88	Professional		$26.33	$54.24	$130.88
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $93.05 / $276.74 / $276.74	Facility		$93.05	$276.74	$276.74
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $345.93 / $345.93 / $446.63	Professional		$345.93	$345.93	$446.63