Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.66 / $353.81 / $465.29	Facility		$189.66	$353.81	$465.29
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $164.08 / $167.45 / $256.31	Facility	54	$164.08	$167.45	$256.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $230.86 / $449.89	Professional		$197.47	$230.86	$449.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $225.46 / $387.16	Professional		$137.15	$225.46	$387.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.89 / $115.89 / $117.58	Facility		$115.89	$115.89	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.98 / $329.97 / $588.85	Professional		$219.98	$329.97	$588.85
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 $223.76 / $307.13 / $538.39	Professional		$223.76	$307.13	$538.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.77 / $267.17 / $414.75	Facility		$218.77	$267.17	$414.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $269.00 / $400.00	Professional		$250.52	$269.00	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $370.18 / $434.30	Professional		$312.60	$370.18	$434.30
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 $182.77 / $262.30 / $529.23	Professional		$182.77	$262.30	$529.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,309.26 / $2,088.44 / $12,000.00	Facility		$1,309.26	$2,088.44	$12,000.00
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $291.72 / $422.97 / $853.99	Facility	54	$291.72	$422.97	$853.99
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,692.56 / $1,733.12 / $2,066.69	Professional		$1,692.56	$1,733.12	$2,066.69