Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $138.69 / $162.46	Facility		$86.98	$138.69	$162.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $123.52 / $198.59	Professional		$86.99	$123.52	$198.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $102.52 / $124.62 / $207.12	Professional	25	$102.52	$124.62	$207.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $162.83 / $215.90	Professional		$116.81	$162.83	$215.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $119.96 / $129.59 / $195.42	Professional	25	$119.96	$129.59	$195.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $183.42 / $259.73	Professional		$141.49	$183.42	$259.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $153.83	Professional		$116.36	$116.36	$153.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $124.12 / $188.65	Facility		$104.81	$124.12	$188.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $118.68 / $276.83	Professional		$104.81	$118.68	$276.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.84 / $206.10 / $243.62	Professional		$124.84	$206.10	$243.62
United Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $132.41 / $219.32	Professional		$102.50	$132.41	$219.32
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $223.36 / $667.49 / $667.49	Facility		$223.36	$667.49	$667.49
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $818.99 / $1,074.45 / $1,074.45	Professional		$818.99	$1,074.45	$1,074.45