Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.14 / $618.00 / $3,670.53	Facility		$303.14	$618.00	$3,670.53
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.25 / $227.36 / $358.26	Facility	54	$217.25	$227.36	$358.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $303.14 / $543.86	Professional		$252.78	$303.14	$543.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.31 / $351.68 / $351.68	Professional		$326.31	$351.68	$351.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $433.95 / $752.08	Professional		$289.30	$433.95	$752.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.28 / $221.28 / $395.75	Facility		$221.28	$221.28	$395.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $401.81 / $746.79	Professional		$270.64	$401.81	$746.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $289.66 / $363.78 / $551.79	Facility		$289.66	$363.78	$551.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.32 / $382.00 / $408.00	Professional		$358.32	$382.00	$408.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $418.10 / $807.20	Professional		$3.00	$418.10	$807.20
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $345.38 / $728.94	Professional		$251.18	$345.38	$728.94
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,384.76 / $1,543.89 / $12,000.00	Facility		$1,384.76	$1,543.89	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $539.65 / $1,080.72 / $1,080.72	Facility	54	$539.65	$1,080.72	$1,080.72
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $2,172.80 / $2,273.04 / $2,722.58	Professional		$2,172.80	$2,273.04	$2,722.58