Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.81 / $400.77 / $4,782.51	Facility		$135.81	$400.77	$4,782.51
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $76.13 / $90.82 / $136.03	Facility	54	$76.13	$90.82	$136.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $121.09 / $276.08	Professional		$93.85	$121.09	$276.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $106.33 / $160.69	Professional		$90.06	$106.33	$160.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $133.47 / $251.00	Professional		$94.07	$133.47	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $131.46 / $272.20	Professional		$99.81	$131.46	$272.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $123.51 / $171.91	Facility		$101.50	$123.51	$171.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Professional		$132.88	$132.88	$132.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.96 / $1,152.96 / $1,886.47	Facility		$1,152.96	$1,152.96	$1,886.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $128.52 / $199.15	Professional		$95.19	$128.52	$199.15
United Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $833.00 / $1,928.00	Facility		$415.00	$833.00	$1,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $115.06 / $288.91	Professional		$88.77	$115.06	$288.91
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $555.85 / $555.85	Facility		$55.00	$555.85	$555.85
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $389.09 / $389.09 / $389.09	Facility	54	$389.09	$389.09	$389.09
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $782.96 / $926.08 / $1,071.75	Professional		$782.96	$926.08	$1,071.75