Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.08 / $154.09 / $163.19	Facility		$131.08	$154.09	$163.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $110.00 / $110.00 / $110.00	Facility	25	$110.00	$110.00	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $153.74 / $256.00	Professional		$105.15	$153.74	$256.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $121.39 / $219.75 / $468.76	Professional	25	$121.39	$219.75	$468.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $153.74 / $221.22	Professional		$153.74	$153.74	$221.22
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $153.60 / $153.60 / $153.60	Professional	25	$153.60	$153.60	$153.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $199.86 / $344.34	Professional		$132.47	$199.86	$344.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $151.44	Professional		$147.90	$147.90	$151.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $146.81 / $232.89	Facility		$88.31	$146.81	$232.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $145.87 / $395.03	Professional		$126.33	$145.87	$395.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $211.08 / $294.41	Professional		$124.58	$211.08	$294.41
United Facility/Professional Professional Modifier Low / Median / High Price $102.49 / $162.13 / $318.61	Professional		$102.49	$162.13	$318.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $653.54 / $653.54 / $653.54	Facility		$653.54	$653.54	$653.54
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $828.70 / $1,055.70 / $1,361.18	Professional		$828.70	$1,055.70	$1,361.18